Matches in SemOpenAlex for { <https://semopenalex.org/work/W2020686795> ?p ?o ?g. }
Showing items 1 to 66 of
66
with 100 items per page.
- W2020686795 endingPage "11039" @default.
- W2020686795 startingPage "11039" @default.
- W2020686795 abstract "Many hospitals are unable to consistently implement evidence-based practices. For example, implementation of the central line bundle (CLB), known to prevent catheter-related bloodstream infections (CRBSIs) is often challenging. This problem is broadly characterized as “change implementation failure.” Theoretical literature has suggested that periodic top-down communications promoting tacit knowledge exchanges across professional subgroups may be effective for enabling learning and change in healthcare organizations. However, gaps remain in understanding the mechanisms by which top-down communications enable practice change at the unit level. Addressing this gap could identify evidence-based management strategies for practice change. Our study sought to both evaluate the theoretical literature and address the gap. A prospective study was conducted in two ICUs within an academic health center; both units had low baseline adherence to CLB and higher-than-expected CRBSIs. Periodic top-down communication interventions were conducted over 52 weeks, to promote CLB adherence in both units. Simultaneously, the study examined: 1) the content and frequency of communication related to CLB through weekly “communication logs” completed by unit physicians, nurses, and managers; and 2) unit outcomes, i.e., CLB adherence rates. Both units demonstrated increased adherence to CLB, and significant, sustained declines in CRBSIs and catheter days (i.e., central line use). Results indicate that the interventions cumulatively, had a significant negative (desired) impact on catheter days. Data from “communication logs” suggest that “change champions” emerged early to initiate process improvements in both units. Findings help validate the theoretical literature, and identify evidence-based management strategies for successful practice change at the unit level." @default.
- W2020686795 created "2016-06-24" @default.
- W2020686795 creator A5032110728 @default.
- W2020686795 creator A5059304858 @default.
- W2020686795 date "2014-01-01" @default.
- W2020686795 modified "2023-10-16" @default.
- W2020686795 title "Impact of Periodic Top-down Communications on Infection Prevention Practices & Outcomes in Two Units" @default.
- W2020686795 doi "https://doi.org/10.5465/ambpp.2014.11039abstract" @default.
- W2020686795 hasPublicationYear "2014" @default.
- W2020686795 type Work @default.
- W2020686795 sameAs 2020686795 @default.
- W2020686795 citedByCount "0" @default.
- W2020686795 crossrefType "journal-article" @default.
- W2020686795 hasAuthorship W2020686795A5032110728 @default.
- W2020686795 hasAuthorship W2020686795A5059304858 @default.
- W2020686795 hasConcept C122637931 @default.
- W2020686795 hasConcept C141071460 @default.
- W2020686795 hasConcept C144133560 @default.
- W2020686795 hasConcept C145420912 @default.
- W2020686795 hasConcept C15744967 @default.
- W2020686795 hasConcept C159110408 @default.
- W2020686795 hasConcept C160735492 @default.
- W2020686795 hasConcept C17744445 @default.
- W2020686795 hasConcept C177713679 @default.
- W2020686795 hasConcept C199539241 @default.
- W2020686795 hasConcept C27415008 @default.
- W2020686795 hasConcept C2781267111 @default.
- W2020686795 hasConcept C41008148 @default.
- W2020686795 hasConcept C56739046 @default.
- W2020686795 hasConcept C71924100 @default.
- W2020686795 hasConceptScore W2020686795C122637931 @default.
- W2020686795 hasConceptScore W2020686795C141071460 @default.
- W2020686795 hasConceptScore W2020686795C144133560 @default.
- W2020686795 hasConceptScore W2020686795C145420912 @default.
- W2020686795 hasConceptScore W2020686795C15744967 @default.
- W2020686795 hasConceptScore W2020686795C159110408 @default.
- W2020686795 hasConceptScore W2020686795C160735492 @default.
- W2020686795 hasConceptScore W2020686795C17744445 @default.
- W2020686795 hasConceptScore W2020686795C177713679 @default.
- W2020686795 hasConceptScore W2020686795C199539241 @default.
- W2020686795 hasConceptScore W2020686795C27415008 @default.
- W2020686795 hasConceptScore W2020686795C2781267111 @default.
- W2020686795 hasConceptScore W2020686795C41008148 @default.
- W2020686795 hasConceptScore W2020686795C56739046 @default.
- W2020686795 hasConceptScore W2020686795C71924100 @default.
- W2020686795 hasIssue "1" @default.
- W2020686795 hasLocation W20206867951 @default.
- W2020686795 hasOpenAccess W2020686795 @default.
- W2020686795 hasPrimaryLocation W20206867951 @default.
- W2020686795 hasRelatedWork W161339683 @default.
- W2020686795 hasRelatedWork W1995844504 @default.
- W2020686795 hasRelatedWork W2024362341 @default.
- W2020686795 hasRelatedWork W2041825105 @default.
- W2020686795 hasRelatedWork W2068265501 @default.
- W2020686795 hasRelatedWork W2748952813 @default.
- W2020686795 hasRelatedWork W2899084033 @default.
- W2020686795 hasRelatedWork W4252371801 @default.
- W2020686795 hasRelatedWork W4297224787 @default.
- W2020686795 hasRelatedWork W4322705987 @default.
- W2020686795 hasVolume "2014" @default.
- W2020686795 isParatext "false" @default.
- W2020686795 isRetracted "false" @default.
- W2020686795 magId "2020686795" @default.
- W2020686795 workType "article" @default.