The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
‘Matching Michigan’: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England
Open accessAbstract
Background: Bloodstream infections from central venous catheters (CVC-BSIs) increase morbidity and costs in intensive care units (ICUs). Substantial reductions in CVC-BSI rates have been reported using a combination of technical and non-technical interventions. Methods: We conducted a 2-year, four-cluster, stepped non-randomised study of technical and non-technical (behavioural) interventions to prevent CVC-BSIs in adult and paediatric ICUs in England. Random-effects Poisson regression modelling was used to compare infection rates. A sample of ICUs participated in data verification. Results: Of 223 ICUs in England, 215 (196 adult, 19 paediatric) submitted data on 2479 of 2787 possible months and 147 (66%) provided complete data. The exposure rate was 438 887 (404 252 adult and 34 635 paediatric) CVC-patient days. Over 20 months, 1092 CVC-BSIs were reported. Of these, 884 (81%) were ICU acquired. For adult ICUs, the mean CVC-BSI rate decreased over 20 months from 3.7 in the first cluster to 1.48 CVC-BSIs/1000 CVC-patient days (p<0.0001) for all clusters combined, and for paediatric ICUs from 5.65 to 2.89 (p=0.625). The trend for infection rate reduction did not accelerate following interventions training. CVC utilisation rates remained stable. Pre-ICU infections declined in parallel with ICU-acquired infections. Criterion-referenced case note review showed high agreement between adjudicators (κ 0.706) but wide variation in blood culture sampling rates and CVC utilisation. Generic infection control practices varied widely. Conclusions: The marked reduction in CVC-BSI rates in English ICUs found in this study is likely part of a wider secular trend for a system-wide improvement in healthcare-associated infections. Opportunities exist for greater harmonisation of infection control practices. Future studies should investigate causal mechanisms and contextual factors influencing the impact of interventions directed at improving patient care.
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Guidelines for the Prevention of Intravascular Catheter-related Infections
O'Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., et al. (2011) · Clinical Infectious Diseases · doi:10.1093/cid/cir257 · Cited by 4,699
An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU
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Guidelines for the prevention of intravascular catheter-related infections
da Silva, G. D., de Almeida, V. S., Querido, D. L., Esteves, A. P. V. D. S., dos Santos, J. P. O., & Rezende, T. F. (2012) · doi:10.5205/3705 · Cited by 1,119
Healthcare Infection Control Practices Advisory Committee
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Explaining Michigan: Developing an Ex Post Theory of a Quality Improvement Program
DIXON-WOODS, M., BOSK, C. L., AVELING, E. L., GOESCHEL, C. A., & PRONOVOST, P. J. (2011) · Milbank Quarterly · doi:10.1111/j.1468-0009.2011.00625.x · Cited by 603
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Vital Signs: Central Line–Associated Blood Stream Infections—United States, 2001, 2008, and 2009
(2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.07.035 · Cited by 473
Cited by
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
The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting
Hemming, K., Haines, T. P., Chilton, P. J., Girling, A. J., & Lilford, R. J. (2015) · BMJ · doi:10.1136/bmj.h391 · Cited by 1,410
Trial of the Route of Early Nutritional Support in Critically Ill Adults
Harvey, S. E., Parrott, F., Harrison, D. A., Bear, D. E., Segaran, E., Beale, R., Bellingan, G., Leonard, R., Mythen, M. G., & Rowan, K. M. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1409860 · Cited by 618
Self-citationthe WHO Guidelines Development Group, Storr, J., Twyman, A., Zingg, W., Damani, N., Kilpatrick, C., Reilly, J., Price, L., Egger, M., Grayson, M. L., et al. (2017) · Antimicrobial Resistance & Infection Control · doi:10.1186/s13756-016-0149-9 · Cited by 594
Association of Anaesthetists of Great Britain and Ireland: Safe vascular access 2016
Bodenham (Chair), A., Babu, S., Bennett, J., Binks, R., Fee, P., Fox, B., Johnston, A. J., Klein, A. A., Langton, J. A., Mclure, H., et al. (2016) · Anaesthesia · doi:10.1111/anae.13360 · Cited by 309
Metadata
- Authors
- Bion, J., Richardson, A., Hibbert, P., Beer, J., Abrusci, T., McCutcheon, M., Cassidy, J., Eddleston, J., Gunning, K., Bellingan, G., Patten, M., & Harrison, D.
- Venue
- BMJ Quality & Safety
- Publisher
- BMJ
- Published
- 2012-09-20
- Volume
- 22
- Issue
- 2
- Pages
- 110-123
- ISSN
- 1475-3898 (ISSN-L)
- 2044-5415
- 2044-5423
- OpenAlex
- W2103463087
- Cited by
- 300
- References
- 54
- FWCI
- 40.42
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Bion, J., Richardson, A., Hibbert, P., Beer, J., Abrusci, T., McCutcheon, M., Cassidy, J., Eddleston, J., Gunning, K., Bellingan, G., Patten, M., & Harrison, D. (2013). ‘Matching Michigan’: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. BMJ Quality & Safety. https://doi.org/10.1136/bmjqs-2012-001325
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