Evidence map›Paper›PMID 42199485›Full record

ArticleInfection prevention in practice2026

Implementing a participant-driven water management initiative to support Maryland hospitals.

N Exum, S Ryan, D L Mensah, J Rubin, L L Smith, K C Coffey, P J Desai, C Rock, L M O'Hara, I A El-Imam and 4 more

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Article in Infection prevention in practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

14 authors.

N ExumDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
S RyanNORC at the University of Chicago, Washington, DC, USA.
D L MensahNORC at the University of Chicago, Washington, DC, USA.
J RubinMaryland Department of Health, Baltimore, MD, USA.
L L SmithDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
K C CoffeyDepartment of Infectious Disease, Massachusetts General Hospital, Boston, MA, USA.
P J DesaiNORC at the University of Chicago, Washington, DC, USA.
C RockDepartment of Hospital Epidemiology and Infection Control, Johns Hopkins Medicine, Baltimore, MD, USA.
L M O'HaraDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
I A El-ImamDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
L MaragakisDepartment of Hospital Epidemiology and Infection Control, Johns Hopkins Medicine, Baltimore, MD, USA.
R PerlmutterMaryland Department of Health, Baltimore, MD, USA.
P DullabhNORC at the University of Chicago, Washington, DC, USA.
S LeekhaDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hospital water systems are recognized as potential sources of waterborne pathogens, posing serious risks to vulnerable patient populations. Despite federal and local guidelines, implementing effective water management programs in healthcare settings remains a significant challenge. Methods: From April 2024 to May 2025, the Maryland Statewide Prevention and Reduction Collaborative (SPARC) implemented a participant-driven learning collaborative, the Water Management Initiative, based on interest from infection preventionists at Maryland hospitals. The Water Management Initiative aimed to be responsive to the learning needs of Maryland acute care hospitals regarding their water management practices, as informed by an initial needs assessment. The initiative was evaluated via surveys after all sessions were completed. Results: Of the 42 eligible Maryland acute care hospitals, 26 (62%) responded to the pre-initiative needs assessment. Based on this assessment, SPARC developed the Water Management Initiative, which included a full-day workshop, 11 webinars, one office hour, and individual coaching sessions with two facilities. Following the initiative, 93% of postsurvey respondents ( Conclusions: SPARC's Water Management Initiative demonstrated that a participant-driven approach can increase knowledge regarding water management practices in healthcare settings. This initiative provides a replicable model for other states seeking to enhance healthcare water management through public health-academic partnerships, peer-to-peer learning, and multi-disciplinary team engagement.

Indexed as

CollaborativeHospital water managementQuality improvementWaterborne pathogensWater Infection control risk assessment

Identifiers

PMID42199485
PMCPMC13199973

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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.