NRS493 Literature Evaluation Table Paper

Literature Evaluation Table

NRS493 Literature Evaluation Table Paper

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal Schwartz, S., Frankel, A., Cho, S. Y., Chung, D. Bundy, D. G., Zavotsky, K.
(Peer- Rehder, K., Leonard, M., R., Ryu, J. G., Choi, J. Gaur, A. H., E.,
Reviewed), and Frankel, T., Watson, S., R., Ahn, N., Kim, S. Billett, A. L., He, Malast, T.,
Permalink or and Sexton, J. and Song, J. H. B., Colantuoni, E. Festus, O. and
Working Link https://www.ncbi.nlm. A., and Miller, M. Riskie, V.
to Access cmjournal/Citation/2016/1 R.
Article 2001/1255      CENTRAL 3762 https://www.ncbi.n
_LINE_ASSOCIATED_B pubmed/26583
LOODSTREAM.1214.asp d/25404721 628
Article Title and Year Published Central Line-Associated Bloodstream Infection Rates Associated with ICU Teamwork Climate. Critical Care Medicine.  


Impact on Targeted Interventions on Trends in Central Line-Associated Bloodstream Infection: A Single- Centre Experience from the Republic of Korea. Critical Care Medicine. Preventing CLABSIs among pediatric hematology/oncol ogy inpatients: national collaborative results. Pediatrics. 


Reducing Central Line Associated Bloodstream Infections on Oncology.Units using peer review.



Research Qualitative study. The Qualitative study. The Quantitative and Qualitative
Questions study was conducted to study was conducted qualitative study. study. This
(Qualitative)/H establish the relationship to assess the effects of The objective of study was
ypothesis between patients’ the targeted the study was to conducted to
(Quantitative), outcomes and healthcare interventions on assess the describe
and climate. This involved CLABSIs trends. feasibility of peer-to-peer
Purposes/Aim evaluating the functional multicenter efforts programs and
of Study ability of the team to of standardizing outcomes of
evaluate, coordinate and CL care and interventions
adapt changing team CLABSI tracking. to reduce
dynamics with an aim of Again, the study incidences of
minimizing CLABSIs aimed at CLABSIs in
upon catheter insertion quantifying the patients in
and maintenance using impact of transplantation,
evidence-based standardizing bone marrow,
techniques. processes on surgical
CLABSI rates oncology, and
among the medical units.

hematology/oncology inpatients.
Design (Type of Quantitative, or Type of Qualitative) The retrospective multi- center observational study utilizing teamwork climate data from 29 adultICUs. A before-and-after study between 2013January and 2014 September. Multicenter quality improvement collaborative starting November2009 Qualitative design.
Setting/Sample Michigan Hospital Association Keystone Centre for Patient Safety and Quality. Tertiary hospital in the Republic of Korea.All patients having central-line catheters hospitals Pediatric hematology/oncol ogy inpatients Magnet- designated academic medical center using Medical and Surgicaloncology units.
Methods: Teamwork climate was Interventions targeting Multidisciplinary The peer-to-
Intervention/Ins assessed through central line insertions teams in the peer process,
truments validation of scores, were implemented in participating sites team approach,
safety culture survey. This 2014, September in 10 implemented staff education,
was administered through ICUs. The impacts of standardized and the
Safe and Reliable targeted interventions bundles of CL care application of
Healthcare from 2015, on CLABSIs was practices and checklist.
April 1 to 2015, May 30. evaluated using adopting a
segmented common approach
autoregression to CLABSIs
analysis on the surveillance.
interrupted time series.
Analysis The linear regression The mean hospital- The average pre- Peer-to-peer
model was employed to wide CLABSIs collaborative process and
predict teamwork climate infection in the CLABSI rate of team approach
scores. The model intervention and 2.85 CLABSIs per help reduce
predicted 10.6% variance baseline periods were 1000 CL-days was rates of
of CLABSIs. CLABSIs 1.56 and 1.84 per reported by CLABSIs in
were found to be more 1000 catheter days 32 units that the setting of
common when ICUs respectively. Baseline participated in the oncology. Staff
workers reported period recorded collaborative education is
difficulties with speaking increase of CLABSIs study. A reduction important in
up, asking questions to rate of 1.12 per 1000 rate of 28% of introducing
clarify ambiguities, catheter days while the CLABSIs was new techniques
communicating intervention period recorded. of reducing
breakdowns, working with recorded a decrease of CLABSIs. The
difficult groups and CLABSIs rate of 1.64 checklist
resolving conflicts. per 1000 catheter provides
days. stepwise
processes of
ensuring safety
in caring for
patients withcentral lines.
Key Findings CLABSIs’ variation is After the sequential- Multicenter quality The peer-to-
explained significantly by targeted interventions, improvement peer process,
teamwork climates as CLABSIs rate collaborative checklist and
assessed by frontline ICUs decreased by 0.16 per located significant team approach
workers. Clear link the 1000 catheter days. reductions in lower the
between the rates of This implies that observed rates of incidences of
CLABSIs and teamwork targeted interventions CLABSI in the CLABSIs
climate suggests that are associated with pediatric remarkably.
patients’ outcome can be notable changes in the hematology/oncol Precisely,
improved by focusing on trends in occurrence ogy inpatients. patients’
the improvement of rates of CLABSIs in Again, additional outcome is
teamwork climate. the ICUs and entire interventions are improved as
hospitals. required to bring staff
and sustain satisfaction is
CLABSIs rates increased.
closer to zero for
the high-risk
Recommendatio I recommend this to ICUs I recommended this to I recommend this I recommend
ns workers because ICU ICUs and all hospitals to pediatric this to Medical
workers are encouraged because it provides hematology/oncol and Surgical
how to report difficulties sufficient evidence ogy centers oncology units
through speaking up, regarding the because it presents because its
asking questions to clarify importance of targeted itself with interventions,
ambiguities, interventions in interventions that peer-to-peer
communicating reducing CLABSIs would reduce process,
breakdowns, working with rates. CLABSIs closer to checklist and
difficult groups and zero. team approach,
resolving conflicts. are capable of
lowering the
incidences of
NRS493 Literature Evaluation Table Paper remarkably.
Explanation of This article supports the This article supports The article This article
How the Article capstone project because the capstone because supports the supports the
Supports the clear link between the of it is a source of capstone project capstone
EBP/Capstone rates of CLABSIs and sufficient evidence because it utilizes project because
Project teamwork climate regarding team’s effort the multicenter it utilizes the
suggests that patients’ on targeted quality same
outcome can be improved interventions. improvement intervention,
by focusing on improving collaborative team approach,
teamwork climate. techniques to that the
reduce rates of CLABSIs
CLABSI. project uses in
its quest of lowering CLABSIsrates.


Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), andPermalink or Working Link to Access Article Sacks, G. D.,Diggs, B. S., Hadjizacharia, P., Green, D., Salim, A., & Malinoski,

D. J. 24576582

Latif, A., Kelly, B., Edrees,H., Kent, P.S.,


S.J., Jovanovic, B., Attallah, H., de Grouchy, K.

K., Al-Obaidli,

A., Goeschel, C.A. and Berenholtz, M.

Scheck, M. A, Hefner, J. L, Robbins,J., Harrison, M. I. and Garman A.


https://www.ncbi.n d/25703102

Furuya, E. Y., Dick,A. W., Herzig, C. T., Pogorzelska- Maziarz,

M., Larson, E. L and Stone, P. W. 7052993

https://www.ncbi.n d/25871927
Article Title and Year Published Reducing the rate of catheter- associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. TheAmerican Journal of Surgery. NRS493 Literature Evaluation Table Paper Implementing a multifaceted intervention to decrease central line-associated bloodstream infections in SEHA (Abu Dhabi Health Services Company) intensive care units: the Abu Dhabi experience. Preventing central line-associated bloodstream infections: A qualitative study of management practices. 


Central Line- Associated Bloodstream Infections and Bundle Compliance in ICUs: A National Study. 


Research Qualitative Qualitative Qualitative Descriptive
Questions research. research. The research. The research.
(Qualitative)/Hypo The study aimed at study aimed at study aimed at The study aimed at
thesis determining determining identifying factors determining the
(Quantitative), and whether the whether that explain relationship between
Purposes/Aim of implementation of implementation of hospital-level CLABSIs rates and
Study IHI (Institute for multifaceted differences in bundle compliance.


Healthcare Improvement) CL bundle would reduce the incidences ofCLABSIs. interventions would reduce incidences of CLABSIssignificantly. programs’ outcome to prevent CLABSIs.
Design (Type of Quantitative, or Type of Qualitative) Qualitative study. Prospective cohort collaborative Extensive qualitative case study. NRS493 Literature Evaluation Table Paper Cross-sectional study
Setting/Sample Surgical ICUs. Abu Dhabi Health Services Company hospitals’ ICU in the Emirate of Abu Dhabi. Eight United States hospitals that had participated in federally funded on the CUSP-StopBSI initiative. US adults in the ICUs.
Methods: The rate of Bundled In-depth Surveillance of the
Intervention/Instru CLABSIs per interventions interviews hospitals to
ments 1,000 catheter days consisting of three transcribing determine
and patient components were verbatim. Again, compliance with
demographics were implemented as and analyzing catheter line
compared between part of the emergent themes insertion bundle
the preintervention programs. The differentiated element in ICUs.
groups and bundled higher performing
postintervention interventions hospitals from
groups. composed lower performing
multifaceted hospitals.
approach targeting
clinicians using
Analysis Implementation of An overall Getting to zero Of the 984 adult
IHI Central Line CLABSIs CLABSIs ICUs that the
Bundles reduced reduction rate of infection provided research was
the rates of 18% was achieved the difference conducted, 69%
CLABSIs in the by the eighteen between higher reported excellent
surgical ICU by ICUs from seven performing compliance with at
68% thus, saving hospitals in Abu hospitals from least one element.
$198,600 annually. Dhabi that lower performing Better-resourced
implemented the hospitals. Higher infections
program. performing prevention
hospitals state its departments are
goal explicitly and aggressively while lower performing hospitals stated their goals with aspiration. Higher performing hospitals adopted five additional management practices, that is, top-level commitment, recognition and reward, meaningful use of data, systematic education and physician-nursealignment. associated with lower limited rates of CLABSIs.
Key Findings Baseline demographics between preintervention groups and postintervention groups was found to be similar.However, rates of CLABSIs per catheter days reduced to 3/1,870 from 19/3,784 to after the implementation of IHI Bundle. Using multifaceted intervention in desperate settings results in significant reduction of mortality and morbidity associated with CLABSIs. Specific management practices provide critical guidance to hospital leaders, clinical managers, and physicians in preventing healthcare- associated infections. NRS493 Literature Evaluation Table Paper Compliance with the entire bundle is effective, though lower CLABSIs is associated with excellent compliance with the bundle with one element. At the national level, variability in compliance across the ICUs provides a room for improvement in the reduction ofCLABSIs.
Recommendations I recommend this to surgical ICUs because measuring contemporaneous infection rates in surgical ICU reduced the infection by 68%. I recommend this to hospitals because with multifaceted intervention a significant reduction in morbidity and mortality is I recommend this to hospital leaders, clinical managers, and physicians because it provides them with management practices that reduce rates of I recommend this to ICUs dealing with adults with CLABSIs because absolute compliance with insertion bundle provides a room for improvement.



achieved. CLABSIs.
Explanation of How the Article Supports EBP/Capstone This article supports the capstone project by providing a ground how measuring contemporaneous infection rates in surgical ICU, and hospitals in general, reduce incidences of CLABSIs. The aim of the capstone project is applying relevant interventions to reduce the prevalence of CLABSIs.Multifaceted intervention discussed in this article is among the appropriate interventions thus, making this article relevant. This article supports the capstone project because it is a source of leadership and management practices providing hospital leaders, clinical managers, and physicians with knowledge of reducing CLABSISs rates. This article supports the capstone project by advising on how to comply with insertion bundle.Upon complying, there is a likelihood that rates of CLABSIs will reduce.