Evidence map›Paper›PMID 41050542›Full record

ArticleFrontiers in health services2025

Standard vs. enhanced implementation strategies to increase adoption of a multidrug-resistant organism alert tool: a cluster randomized trial.

Cara Ray, Cassie Goedken, Ashley M Hughes, Geneva M Wilson, Natalie R Hicks, Margaret A Fitzpatrick, Makoto M Jones, Christopher Pfeiffer, James Stacey Klutts, Martin E Evans and 2 more

Abstract read
In one paragraph

Article in Frontiers in health services, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Cara RayCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States.
Cassie GoedkenIowa City VA Medical Center, Center for Access and Delivery Research and Evaluation, United States Department of Veterans Affairs, Iowa City, IA, United States.
Ashley M HughesCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States.
Geneva M WilsonCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States.
Natalie R HicksVA National Infectious Diseases Service, MDRO Prevention Division, Washington, DC, United States.
Margaret A FitzpatrickRocky Mountain Regional VA Medical Center, Center of Innovation for Veteran Centered and Value Driven Care, Aurora, CO, United States.
Makoto M JonesVA Salt Lake City Health Care System, Informatics, Decision Enhancement, and Analytics Sciences Center, Salt Lake City, UT, United States.
Christopher PfeifferMedicine Service, VA Portland Healthcare System, Portland, OR, United States.
James Stacey KluttsVA Central Office, VA National Pathology and Laboratory Medicine Program Office, Washington, DC, United States.
Martin E EvansVA National Infectious Diseases Service, MDRO Prevention Division, Washington, DC, United States.
Katie Joy SudaCenter for Health Equity Research and Promotion, Pittsburgh, PA, United States.
Charlesnika T EvansCenter of Innovation for Complex Chronic Healthcare, Edward Hines Jr. VA Hospital, Hines, IL, United States.

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
NCATS NIH HHS UM1 TR004528
6 · The paper itself

Abstract

Background: The Veterans Health Administration (VHA) launched VA Bug Alert (VABA) to identify admitted patients who are infected or colonized with multidrug-resistant organisms (MDROs) in real time and promote timely infection prevention measures. However, initial VABA adoption was suboptimal. The objective of this project was to compare the effectiveness of standard vs. enhanced implementation strategies for improving VABA adoption. Methods: 121 VA healthcare facilities were evaluated for adoption of VABA (at least 1 user registered at a facility) April 2021-September 2022. All facilities initially received standard implementation, which included: VABA revisions based on end-user feedback, education, and internal facilitation via monthly meetings with the MDRO Prevention Division of the VHA National Infectious Diseases Service. Surveys evaluated VABA perspectives among MDRO Prevention Coordinators (MPCs) and/or Infection Preventionists (IPs) before and after initial standard implementation. Facilities not registered for VABA following initial standard implementation ( Results: Before education, 25% of 167 MPC/IP survey respondents across 116 facilities reported no knowledge/use of VABA. After education, 82% of 92 survey respondents across 80 facilities reported intending to use VABA. At baseline, VABA registrations were 40%. Registrations significantly increased aft Follow-up 1(75%, Conclusions: Implementation efforts dramatically increased VABA registrations. Incorporating interview feedback to increase VABA's fit with users' needs may increase its use and help reduce MDRO spread in VA.

Indexed as

implementation facilitationinfection preventionmultidrug-resistant organism (MDRO)user-centered designveterans affairs

Identifiers

PMID41050542
PMCPMC12488722

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.