Evidence map›Paper›PMID 39595440›Full record

ReviewHealthcare (Basel, Switzerland)2024

Identifying the Bundle/Care Development Process in Clinical Risk Management: A Systematic Review.

Emanuele Sebastiani, Marina Scacchetti, Manuele Cesare, Massimo Maurici, Michele Tancredi Loiudice

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Seasonality, Weather, and Obstetric Level of Care: An Analysis of Rural Delivery Locations.International journal of environmental research and public health · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Article
  16. 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

5 authors.

Emanuele SebastianiDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00123 Rome, Italy.ORCID 0009-0002-0475-593X
Marina ScacchettiASL Roma 1, 00193 Rome, Italy.
Manuele CesareGemelli IRCCS University Hospital Foundation, Catholic University of the Sacred Heart, 00168 Rome, Italy.ORCID 0000-0003-2834-7594
Massimo MauriciDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00123 Rome, Italy.ORCID 0000-0001-5884-161X
Michele Tancredi LoiudiceResearch and International Relations Unit, Italian National Agency for Regional Healthcare Services, 00187 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA bundle is a set of three to five evidence-based interventions designed to improve the quality and outcomes of care processes. Numerous international studies have evaluated the effectiveness of Bundles/Care Bundles (BCB) in reducing morbidity and mortality. The Institute for Healthcare Improvement (IHI) has defined the concept of a bundle but has not outlined the development process.

objectiveTo identify the BCB development process in clinical risk scenarios from September 2005 to September 2023.

methodsA systematic review was conducted following PRISMA guidelines to identify studies describing the BCB development process in managing clinical risk situations. The databases consulted included PubMed, Embase, and CINAHL, along with manual searches on institutional websites. Relevant studies concerning the BCB development process were included.

resultsA total of 1372 studies were retrieved, of which 16 were included. Duplicates were removed, and titles and abstracts were analyzed. The identified methods for BCB development include IHI guidelines, expert opinions, international guidelines, and flowcharts. The most common BCBs relate to the prevention of ventilator-associated pneumonia, surgical site infections, catheter-associated infections, and sepsis.

conclusionsThis study has identified the development processes of Care Bundles (BCBs) in clinical risk scenarios, highlighting how these tools facilitate compliance monitoring among members of the healthcare team. The review has revealed effective methods for designing evidence-based BCBs. However, the scarcity of studies on the methodology for developing BCBs is a limitation, suggesting the need for further research. In Italy, there is a growing interest in the use of care packages. It is essential to encourage research that optimizes the effectiveness of intervention strategies.

Indexed as

bundlecare bundleclinical riskpatient care bundlerisk management

Identifiers

PMID39595440
PMCPMC11593500

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.