Evidence map›Paper›PMID 40180354›Full record

ArticleBMJ open quality2025

Increasing evidence-based care practices for patients with

Arunima Soma Dalai, Emma B Monti, Raghad Mallesho, Michael Obeda, Gerald A Evans, Santiago Perez-Patrigeon, Evan Wilson, Jorge L Martinez-Cajas, Prameet M Sheth, Lewis Tomalty and 5 more

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Impact of a standardized management protocol and antimicrobial stewardship intervention on mortality and quality of care in Staphylococcus aureus bacteremia: a before-after study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. 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

15 authors.

Arunima Soma DalaiDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Emma B MontiSchool of Medicine, Queen's University, Kingston, Ontario, Canada.
Raghad MalleshoInternal Medicine Residency Program, Queen's University, Kingston, Ontario, Canada.
Michael ObedaInternal Medicine Residency Program, Queen's University, Kingston, Ontario, Canada.
Gerald A EvansDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Santiago Perez-PatrigeonDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Evan WilsonDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Jorge L Martinez-CajasDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Prameet M ShethDepartment of Pathology and Molecular Medicine, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Lewis TomaltyDepartment of Pathology and Molecular Medicine, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Heather WiseAntimicrobial Stewardship Program, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Kiarah ShchepanikAntimicrobial Stewardship Program, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Amelia WilkinsonDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Geneviève C DigbyDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Anthony D BaiDepartment of Medicine, Queen's University, Kingston, Ontario, Canada anthony.bai@queensu.ca.ORCID http://orcid.org/0000-0003-0448-9934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

aimTo improve adherence to evidence-based care practices by increasing the proportion of patients with

interventionsA multimodal intervention consisting of (1) daily automated email of positive blood culture results to the infectious diseases team; (2) standardisation of prompts attached to positive blood culture results on the electronic medical record; (3) policy of mandatory infectious diseases consultation and (4) education of resident physicians. IMPLEMENTATION AND EVALUATION: The outcome measure was adherence to evidence-based care practices, defined as echocardiography, repeating blood cultures and treatment with a first-line antibiotic. A secondary outcome measure was 90-day mortality. The process measure was the proportion of patients receiving formal infectious diseases consultation. A balancing measure was hospital length of stay. All measures were monitored semimonthly using statistical process control charts for time periods before and after intervention.

resultsThere were 171 and 186 patients with

conclusionsA multimodal intervention that implemented mandatory infectious diseases consultation significantly improved evidence-based care practices for

Indexed as

BacteremiaEvidence-Based PracticeReferral and ConsultationStaphylococcal InfectionsAdultAgedFemaleHumansMaleMiddle AgedQuality ImprovementStaphylococcus aureusTertiary Care CentersClinical practice guidelinesContinuous quality improvementHealthcare quality improvementImplementation scienceMRSA

Identifiers

PMID40180354
PMCPMC11966985

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.