Evidence map›Paper›PMID 33408760›Full record

ArticleJournal of infection prevention2020

Impact of a hospital-wide huddle on device utilisation and infection rates: a community hospital's journey to zero.

Alfredo J Mena Lora, Mirza Ali, Candice Krill, Sherrie Spencer, Eden Takhsh, Susan C Bleasdale

Abstract read
In one paragraph

Article in Journal of infection prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alfredo J Mena LoraDivision of Infectious Diseases, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-8337-757X
Mirza AliQuality Resources Department, Saint Anthony Hospital, Chicago, IL, USA.
Candice KrillQuality Resources Department, Saint Anthony Hospital, Chicago, IL, USA.
Sherrie SpencerQuality Resources Department, Saint Anthony Hospital, Chicago, IL, USA.
Eden TakhshQuality Resources Department, Saint Anthony Hospital, Chicago, IL, USA.
Susan C BleasdaleDivision of Infectious Diseases, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevice utilisation ratios (DUR) correlate with device-associated complications and rates of infection. We implemented a hospital-wide Daily Interdisciplinary Safety Huddle (DISH) with infection control and device components. The aim of this study was to evaluate the impact of DISH on DURs and rates of infection for indwelling urinary catheters (IUC) and central venous catheters (CVC).

methodsA quasi-experimental study assessing DURs and rates of infection before and after implementation of DISH. At DISH, usage of IUC and CVC is reported by managers and the infection preventionist reviews indications and plans for removal. Data before and after implementation were compared. Paired T-test was used to assess for differences between both groups.

resultsDISH was successfully implemented at a community hospital. The average DUR for IUC in intensive care unit (ICU) and non-ICU settings was reduced from 0.56 to 0.35 and 0.27 to 0.12, respectively. CVC DUR decreased from 0.29 to 0.26 in the ICU and 0.14 to 0.12 in non-ICU settings. Catheter-associated urinary tract infections (CAUTIs) decreased by 87% and central line-associated bloodstream infections (CLABSIs) by 96%.

conclusionDISH was associated with hospital-wide reductions in DUR and device-associated healthcare-associated infections. Reduction of CLABSIs and CAUTIs had estimated cost savings of $688,050. The impact was more profound in non-ICU settings. To our knowledge, an infection prevention hospital-wide safety huddle has not been reported in the literature. DISH increased device removal, accountability and promoted a culture of safety.

Indexed as

acute careCatheter-associated urinary tract infectioncentral venous cathetershealthcare-associated infectionsimplementation scienceinfection preventionnosocomial infectionquality improvement

Identifiers

PMID33408760
PMCPMC7745585

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.