2014
DOI: 10.1016/j.ajic.2014.03.353
|View full text |Cite
|
Sign up to set email alerts
|

Sustained reduction of central line–associated bloodstream infections outside the intensive care unit with a multimodal intervention focusing on central line maintenance

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

3
18
0

Year Published

2015
2015
2024
2024

Publication Types

Select...
9

Relationship

0
9

Authors

Journals

citations
Cited by 25 publications
(21 citation statements)
references
References 43 publications
3
18
0
Order By: Relevance
“…5,11,12 Similar to previous studies, our fully automated electronic surveillance system likely overestimates the number of CLABSIs. A major limitation to using fully automated electronic surveillance for CLABSIs is the inaccessibility to radiographic imaging reports or other diagnostic criteria that can be used to identify secondary site infections during routine surveillance, such as narrative physician or nursing documentation.…”
Section: Discussionsupporting
confidence: 66%
See 1 more Smart Citation
“…5,11,12 Similar to previous studies, our fully automated electronic surveillance system likely overestimates the number of CLABSIs. A major limitation to using fully automated electronic surveillance for CLABSIs is the inaccessibility to radiographic imaging reports or other diagnostic criteria that can be used to identify secondary site infections during routine surveillance, such as narrative physician or nursing documentation.…”
Section: Discussionsupporting
confidence: 66%
“…CLABSI rates are similar in ICU and non-ICU patient populations [3][4][5][6][7] ; moreover, the number of patients in non-ICU locations greatly surpasses those in ICU locations. Thus, in many hospitals, there may actually be more patients with CLABSIs outside the ICUs than in the ICUs.…”
mentioning
confidence: 93%
“…Clinical implementation is a complex, multifaceted phenomenon [ 26 ] which requires a deep understanding of decision-making, knowledge mobilization, and sense-making in routine clinical practice [ 49 ]. Likewise, the inclusion of strategies that promote fidelity [ 50 ] to recommendations through multicomponent and multimodal interventions [ 51 , 52 ] must be encouraged. The identification of barriers and constraints at the level of institutions and individuals involved should be the first step [ 53 ].…”
Section: Discussionmentioning
confidence: 99%
“…An observational study reports that implementation of a trauma intensive care unit multidisciplinary checklist is associated with reduced catheterrelated infection rates (Category B2-B evidence). 6 Observational studies report that central line-associated or catheter-related bloodstream infection rates are reduced when intensive care unit-wide bundled protocols are implemented (Category B2-B evidence); evidence from fewer observational studies is equivocal [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55] (Category B2-E evidence); other observational studies [56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71] do not report levels of statistical significance or lacked sufficient data to calculate them. These studies do not permit assessing the effect of any single component of a checklist or bundled protocol on infection rates.…”
Section: Guidelines Resource Preparationmentioning
confidence: 99%