Evidence map›Paper›PMID 38204365›Full record

ArticleInfection control and hospital epidemiology2024

Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics.

Harjot K Singh, Kimberly C Claeys, Sonali D Advani, Yolanda J Ballam, Jessica Penney, Kirsten M Schutte, Christopher Baliga, Aaron M Milstone, Mary K Hayden, Daniel J Morgan and 1 more

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
  3. Diagnostic Yield of Repeat Blood Cultures and Risk Factors for Bloodstream Infection in Persistent Febrile Neutropenia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Changing the culture of blood cultures: Opportunities for diagnostic stewardship in febrile neutropenia.Transplant infectious disease : an official journal of the Transplantation Society · 2024
    Article
  12. Article
  13. Article
  14. Article
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

11 authors.

Harjot K SinghDivision of Infectious Diseases, Weill Cornell Medicine, New York City, New York.
Kimberly C ClaeysPractice, Sciences, and Health Outcomes Research, University of Maryland School of Pharmacy, Baltimore, Maryland.ORCID 0000-0001-6895-604X
Sonali D AdvaniDepartment of Medicine-Infectious Diseases, Duke University School of Medicine, Durham, North Carolina.ORCID 0000-0001-5162-6482
Yolanda J BallamInfection Prevention and Control, Children's Mercy Kansas City, Missouri.
Jessica PenneyDivision of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts.ORCID 0000-0001-5363-4742
Kirsten M SchutteMedical Director, Infectious Disease, eviCore Healthcare, Bluffton, South Carolina.
Christopher BaligaSection of Infectious Diseases, Department of Medicine, Virginia Mason Hospital and Seattle Medical Center, Seattle, Washington.ORCID 0000-0001-7832-4011
Aaron M MilstoneDivision of Pediatric Infectious Diseases, Johns Hopkins Medicine, Baltimore, Maryland.ORCID 0000-0001-8498-8682
Mary K HaydenDivision of Infectious Diseases, Rush University Medical Center, Chicago, Illinois.ORCID 0000-0002-4603-8501
Daniel J MorganDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.ORCID 0000-0002-2933-6208
Daniel J DiekemaDivision of Infectious Diseases, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnostic stewardship seeks to improve ordering, collection, performance, and reporting of tests. Test results play an important role in reportable HAIs. The inclusion of HAIs in public reporting and pay for performance programs has highlighted the value of diagnostic stewardship as part of infection prevention initiatives. Inappropriate testing should be discouraged, and approaches that seek to alter testing solely to impact a reportable metric should be avoided. HAI definitions should be further adapted to new testing technologies, with focus on actionable and clinically relevant test results that will improve patient care.

Indexed as

Cross InfectionReimbursement, IncentiveBenchmarkingDelivery of Health CareHumansSurveys and Questionnaires

Identifiers

PMID38204365
PMCPMC11007360

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.