Evidence map›Paper›PMID 42466159›Full record

ArticlePediatric quality & safety

Empowering Caregivers, Protecting Patients: An Ambulatory Central Line Quality Improvement Initiative for Education and Follow-up.

Elizabeth Martinez, Belinda Bordeaux, Stephanie Langevin, Cristina Herrera, Mary Smith, Merissa Doyle, Barbara Stein, Kimberly Poshar, Marissa Dunlap, Allison Silva and 1 more

Abstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Elizabeth MartinezFrom the Clinical Practice and Education, Children's Hospital of The King's Daughters, Norfolk, VA.
Belinda BordeauxVascular Access, Children's Hospital of The King's Daughters, Norfolk, VA.
Stephanie LangevinHematology/Oncology, Children's Hospital of The King's Daughters, Norfolk, VA.
Cristina HerreraAmbulatory Education, Children's Hospital of The King's Daughters, Norfolk, VA.
Mary SmithGastroenterology, Children's Hospital of The King's Daughters, Norfolk, VA.
Merissa DoyleInfection Prevention and Control, Children's Hospital of The King's Daughters, Norfolk, VA.
Barbara SteinInfection Prevention and Control, Children's Hospital of The King's Daughters, Norfolk, VA.
Kimberly PosharRenal, Children's Hospital of The King's Daughters, Norfolk, VA.
Marissa DunlapInfectious Disease, Children's Hospital of The King's Daughters, Norfolk, VA.
Allison SilvaAncillary Services, Children's Hospital of The King's Daughters, Norfolk, VA.
Eric WernerHematology/Oncology, Children's Hospital of The King's Daughters, Norfolk, VA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Preventing ambulatory central line-associated bloodstream infections (A-CLABSIs) is challenging due to inconsistent education, follow-up, and home care practices. Pediatric intestinal failure (IF) patients are particularly vulnerable. This institution aimed to decrease its IF A-CLABSI rate by 25% within 2 years through a standardized, step-by-step central line care education program. Methods: Using the Toyota problem-solving method, the team reviewed data and performed a root cause analysis of the prioritized problem, implementing a 2-phase education program. Phase 1 delivered in-hospital education using videos, handouts, and hands-on teaching with skill demonstration. The existing pediatric central line skills class was expanded and offered to partnering home health agencies. Phase 2 included postdischarge follow-up via phone calls or clinic visits to address questions and identify needs. Family feedback was collected through surveys. Results: The average IF A-CLABSI rate decreased from 3.66 per 1,000 ambulatory line days to 1.85, representing a 49.5% reduction ( Conclusions: The standardized education program substantially reduced the rate of IF A-CLABSIs and improved confidence and satisfaction among families and home health nurses. It also enhanced collaboration among families, home health agencies, and the health system, fostering trust and continuity of care.

Identifiers

PMID42466159
PMCPMC13375075

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Registered trials

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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.