The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Results of a multicentre randomised controlled trial of statistical process control charts and structured diagnostic tools to reduce ward-acquired meticillin-resistant Staphylococcus aureus: the CHART Project
Abstract
Statistical process control (SPC) charts have previously been advocated for infection control quality improvement. To determine their effectiveness, a multicentre randomised controlled trial was undertaken to explore whether monthly SPC feedback from infection control nurses (ICNs) to healthcare workers of ward-acquired meticillin-resistant Staphylococcus aureus (WA-MRSA) colonisation or infection rates would produce any reductions in incidence. Seventy-five wards in 24 hospitals in the UK were randomised into three arms: (1) wards receiving SPC chart feedback; (2) wards receiving SPC chart feedback in conjunction with structured diagnostic tools; and (3) control wards receiving neither type of feedback. Twenty-five months of pre-intervention WA-MRSA data were compared with 24 months of post-intervention data. Statistically significant and sustained decreases in WA-MRSA rates were identified in all three arms (P<0.001; P=0.015; P<0.001). The mean percentage reduction was 32.3% for wards receiving SPC feedback, 19.6% for wards receiving SPC and diagnostic feedback, and 23.1% for control wards, but with no significant difference between the control and intervention arms (P=0.23). There were significantly more post-intervention 'out-of-control' episodes (P=0.021) in the control arm (averages of 0.60, 0.28, and 0.28 for Control, SPC and SPC+Tools wards, respectively). Participants identified SPC charts as an effective communication tool and valuable for disseminating WA-MRSA data.
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“They did not find a statistically significant difference in rates of methicillin‐resistant Staphylococcus aureus infections in hospital wards (adjusted change = 5%, high risk of bias, patient outcome; P = 0.46).”
From Audit and feedback: effects on professional practice and healthcare outcomes (2012) · cites this paper as Curran 2008
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Cites
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Microsystems in Health Care: Part 1. Learning from High-Performing Front-Line Clinical Units
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Research works printed but not linked: 1
- Scottish Executive Health Department (SEHD), 2001, vol. 57
Cited by
Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485
Loveday, H. P., Wilson, J. A., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A., Browne, J., Prieto, J., & Wilcox, M. (2014) · Journal of Hospital Infection · doi:10.1016/s0195-6701(13)60012-2 · Cited by 1,621
Self-citationHill, J. E., Stephani, A.-M., Sapple, P., & Clegg, A. J. (2020) · Implementation Science · doi:10.1186/s13012-020-0975-2 · Cited by 203
Measuring Use of Evidence Based Psychotherapy for Posttraumatic Stress Disorder
Shiner, B. R., DʼAvolio, L., Nguyen, T. M., Zayed, M. H., Young‐Xu, Y., Desai, R. A., Schnurr, P. P., Fiore, L. D., & Watts, B. V. (2012) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-012-0421-0 · Cited by 142
Clinical performance comparators in audit and feedback: a review of theory and evidence
Gude, W. T., Brown, B. C., van der Veer, S. N., Colquhoun, H. L., Ivers, N. M., Brehaut, J., Landis‐Lewis, Z., Armitage, C. J., de Keizer, N. F., & Peek, N. B. (2019) · Implementation Science · doi:10.1186/s13012-019-0887-1 · Cited by 133
Metadata
- Authors
- Curran, E., Harper, P., Loveday, H., Gilmour, H., Jones, S., Benneyan, J., Hood, J., & Pratt, R.
- Affiliations
- Health Protection Scotland (GB)
- University of West London (GB)
- University of Glasgow (GB)
- Northeastern University (US)
- NHS Greater Glasgow and Clyde (GB)
- Corresponding author
- Harper, P.
- Venue
- Journal of Hospital Infection
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 70
- Issue
- 2
- Pages
- 127-135
- ISSN
- 0195-6701 (ISSN-L)
- OpenAlex
- W2142617186
- Cited by
- 37
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 2 · 2012: 5
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Journal of Hospital Infection (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- UWL Repository (University of West London) (submittedVersion)
- Funders
- National Institute for Health and Care Research
- Topics
- Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Advanced Statistical Process Monitoring
- Keywords
- control charts, MRSA colonization, MRSA infection, infection control, infection control nurses, quality improvement, hospital wards
- MeSH terms
- Cross Infection, Data Interpretation, Statistical, United Kingdom, Health Personnel, Hospital Units, Hospitals, Humans, Staphylococcal Infections, Staphylococcus aureus, Models, Statistical, Incidence, Methicillin Resistance, Infection Control
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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