Tag Archives: Incidence/Prevalence

Does immediate reading of mammograms have a different call back rate than batch read screenings?

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Stewart, Kate A, et al. “The effect of immediate reading of screening mammograms on medical care utilization and costs after false-positive mammograms.” Health services research 42.4 (2007):1464-1482.
Case-control study of women with false-positives v. normal mammograms. Included an analysis of rates of each for type of reading.

Ghate SV, et al. Comparison of recall and cancer detection rates for immediate versus batch interpretation of screening mammograms. Radiology. 2005 Apr;235(1):31-5.
Retrospective analysis of false positives and false negatives for mammograms. Does not identify how patients were assigned to immediate or batch reading group.

Burnside, Elizabeth S, et al. “The use of batch reading to improve the performance of screening mammography.” AJR, American journal of roentgenology 185.3 (2005):790-796.
This before-and-after study examined the effect on quality by uninterrupted time for batch reading versus the previous method which was nonbatch but not conducted while the patient waited.

Searched PubMed and AHRQ. Keywords: batch, mammograms, false positives, recall, call back

Updated 4/18/2014 AA

What is the evidence for interventions to prevent catheter associated urinary tract infections?

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Bottom line:  Best available evidence suggests that tap water can be used to effectively clean genitalia; daily cleaning of the meatal area and early removal of catheters are associated with reduction in CAUTIs.  Some evidence suggests silver-impregnated catheters associated with decreased incidence of bacteriuria.  Evidence does not support use of sealed drainage systems (as a single strategy), adding antibacterial solutions to drainage bags, or routinely changing drainage bags (as opposed to changing only when clinically necessary.)

Summary:  Urethral Catheter (Indwelling Short-Term): Urinary Tract Infection Prevention.  Jahan, Nasreen.  Joanna Briggs Evidence Summaries.  AN: JBI594.  2013.

Moola S, Konno R.  A systematic review of the management of shot-term indwelling urethral catheters to prevent urinary tract infections.  JBI Library of Systematic Reviews.  2010;8(17): 695-729.

Review of studies retrieved from Medline and CINAHL and that included adult patients using urinary catheters 1 to 14 days.  Methodologies included first RCTs.  If no RCTs available, then non-randomized studies and before and after studies were included.  Results section describes findings for various types of intervention strategies.

What interventions are effective at reducing readmission rate for patients with heart failure recently discharged from the hospital?

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DynaMed
Heart Failure Structured Management and Education topic
Evidence regarding interventions to reduce readmission include

Systematic review of 8 RCTs compared multidisciplinary education and post-discharge follow-up intervention to usual care by physician after discharge and found that readmission rates were significantly reduced (38.4% v. 49.2%) but did not significantly reduce mortality.
Arch Intern Med 2004 Nov 22;164(21):2315

Systematic review of 18 RCTs compared programs of comprehensive discharge planning v. standard; pooled data over average of 8 months showed readmission in 34.9% of study group v. 43.2% of controls.
JAMA 2004 Mar 17;291(11):1358

Systematic review of studies of varying quality on self-management interventions
BMC Cardiovasc Disord 2006 Nov 2;6:43

Small (n=206) trial of heart failure patients randomized to nurse-run post-discharge follow-up plan versus standard post-discharge care showed reduction in readmission rate for the study group (39% v 54%) – other randomized trials showed no significant difference in readmission between control groups and nurse-management groups

Another systematic review of 21 randomized trials concluded that structured, multidisciplinary post-discharge interventions do affect readmission rate.

Other interventions covered in this DynaMed topic include telephone case management and home visits by nurses and pharmacists.  See DynaMed topic above for full summary.

JBI+ COnNECT
(searched heart failure and readmission)

Systematic review of 16 RCTs evaluating effect of care transition interventions on readmission rate

Systematic review of 3 RCTs and 2 quasi-experimental studies evaluating effect of telephone interventions

Systematic review of 10 RCTs evaluating effect of specifically telephone post-discharge nursing care

For studies published since these reviews

PubMed:  (“Heart Failure”[Majr]) AND “Patient Readmission”[Majr] AND prevention

What has been written on early removal of urinary catheters in surgical patients during the last five years?

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Murphy, Miles, et al. “Postoperative management and restrictions for female pelvic surgery: a systematic review.” International urogynecology journal and pelvic floor dysfunction 24.2 (2013):185-193.

Zaouter, C, et al. “Early removal of urinary catheter leads to greater post-void residuals in patients with thoracic epidural.” Acta anaesthesiologica Scandinavica 56.8 (2012):1020-1025.

Chai, Joyce, and Ting-ChungPun. “A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy.” Acta obstetricia et gynecologica Scandinavica 90.5 (2011):478-482.

Mentler, Ellie, et al. “High incidence of acute urinary retention associated with immediate catheter removal after laparoscopic Nissen fundoplication.” Surgical endoscopy 25.5 (2011):1611-1616.

Huang, Chih C, et al. “Optimal duration of urinary catheterization after anterior colporrhaphy.” International urogynecology journal and pelvic floor dysfunction 22.4 (2011):485-491.

Das Bhagia S, et al. “Is it necessary to remove foleys catheter late after transurethral prostatectomy in patients who presented with acute urinary retention secondary to benign prostatic hyperplasia?” JPMA. The journal of the Pakistan Medical Association 60.9 (2010):739-741.

Kamilya, Gourisankar, et al. “A randomized controlled trial comparing short versus long-term catheterization after uncomplicated vaginal prolapse surgery.” Journal of obstetrics and gynaecology research 36.1 (2010):154-158.

Chia, Yuan-Yi, et al. “Optimal duration of urinary catheterization after thoracotomy in patients under postoperative patient-controlled epidural analgesia. Acta anaesthesiologica Taiwanica 47.4 (2009):173-179.

Zaouter, Cedrick, PepaKaneva, and FrancoCarli. “Less urinary tract infection by earlier removal of bladder catheter in surgical patients receiving thoracic epidural analgesia.” Regional anesthesia and pain Medicine 34.6 (2009):542-548.

de Moya, Marc A, et al. “Colovesical fistula repair: is early Foley catheter removal safe?” The Journal of surgical research 156.2 (2009):274-277.

Ozu, Choichiro, et al. “Radical retropubic prostatectomy with running vesicourethral anastomosis and early catheter removal: our experience.” International journal of urology 16.5 (2009):487-492.

Sekhavat, Leila, TahminahFarajkhoda, and RobabDavar. “The effect of early removal of indwelling urinary catheter on postoperative urinary complications in anterior colporrhaphy surgery.” The Australian and New Zealand journal of obstetrics and gynaecology 48.3 (2008):348-352.

Is there evidence on fall prevention audit tools and how to get nurses engaged in preventing falls?

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Articles are arranged by topic.

Engagement of nurses in fall prevention efforts; these articles cover a variety of techniques

Colon Emeric, Cathleen S, et al. “CONNECT for Better Fall Prevention in Nursing Homes: Results from a Pilot Intervention Study.” Journal of the American Geriatrics Society 61.12 (2013):2150-2159.

Lea, Emma, et al. “Beyond the ‘tick and flick’: facilitating best practice falls prevention through an action research approach.” Journal of clinical nursing 21.13-14 (2012):1896-1905.

Barker, Anna, et al. “The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial.” Injury prevention 17.4 (2011):e5-e5.

Bonuel, Nena, et al. “Best practice fall prevention strategies. CATCH!” Critical care nursing quarterly 34.2 (2011):154-158.

Healey, Frances. “A guide on how to prevent falls injury in hospitals.” Nursing older people 22.9 (2010):16-22.

Koh, S L, et al. “Impact of a fall prevention programme in acute hospital settings in Singapore.” Singapore medical journal 50.4 (2009):425-432.

Koh, Serena S L, et al. “Nurses’ perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals.” BMC health services research 8(2008):105-105.

Ireland, Sandra, et al. “The real world journey of implementing fall prevention best practices in three acute care hospitals: a case study.” Worldviews on evidence-based nursing 10.2 (2013):95-103.

Saint, Sanjay, et al. “Introducing the patient safety professional: why, what, who, how, and where?” Journal of patient safety 7.4 (2011):175-180.

Tzeng, Huey-Ming. “Nurses’ caring attitude: fall prevention program implementation as an example of its importance.” Nursing forum 46.3 (2011):137-145.

Unruh, Lynn, ManishaAgrawal, and SusanHassmiller. “The business case for transforming care at the bedside among the “TCAB 10” and lessons learned.” Nursing administration quarterly 35.2 (2011):97-109.

Stetler, C B, et al. “Integration of evidence into practice and the change process: fall prevention program as a model.” Outcomes management for nursing practice 3.3 (1999):102-111.

Dean, Erin. “Reducing falls among older people in hospital.” Nursing older people 24.5 (2012):16-16, 19.

Rask, Kimberly, et al. “Implementation and evaluation of a nursing home fall management program.” Journal of the American Geriatrics Society 55.3 (2007):342-349.

Audit

Audit criteria

Chapman, Joanne, Deborah Bach, and Kristiina HyrkÃs. “Testing the sensitivity, specificity and feasibility of four falls risk assessment tools in a clinical setting.” Journal of nursing management 19.1 (2011):133-142.

Poe, Stephanie S, et al. “The Johns Hopkins Fall Risk Assessment Tool: postimplementation evaluation.” Journal of nursing care quality 22.4 (2007):293-298.

Perell, K L, et al. “Fall risk assessment measures: an analytic review.” The journals of gerontology. Series A, Biological sciences and medical sciences 56.12 (2001):M761-M766.

Oliver, D, et al. “Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies.” BMJ. British medical journal 315.7115 (1997):1049-1053.

Taylor, Jo A, et al. “A model quality improvement program for the management of falls in nursing homes.” Journal of the American Medical Directors Association 8.3 Suppl (2007):S26-S36.

Milisen, Koen, AnneliesGeeraerts, and EddyDejaeger. “Use of a fall prevention practice guideline for community-dwelling older persons at risk for falling: a feasibility study.” Gerontology 55.2 (2009):169-178.

Wong Shee, Annkarin, BevPhillips, and KeithHill. “Comparison of two fall risk assessment tools (FRATs) targeting falls prevention in sub-acute care.” Archives of gerontology and geriatrics 55.3 (2012):653-659.

Koh, Serena Siew Lin, et al. “Fall incidence and fall prevention practices at acute care hospitals in Singapore: a retrospective audit.” Journal of evaluation in clinical practice 13.5 (2007):722-727.

Reviewed by John Nemeth 4/14

Use of betadine on postoperative surgical sites

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“Efficacy of dilute betadine solution irrigation in the prevention of postoperative infection of spinal surgery.” Spine (Philadelphia, Pa. 1976) 30.15 (2005):1689.

Lid scrub may reduce endophthalmitis rate when used with topical Betadine… including commentary by Trattler WB. Ocular Surgery News 2009 vol:27 iss:19 pg:16

Swenson BR ; Hedrick TL ; Metzger R ; Bonatti H ; Pruett TL ; Sawyer RG. Effects of preoperative skin preparation on postoperative wound infection rates: a prospective study of 3 skin preparation protocols. Infection Control & Hospital Epidemiology, 2009 Oct; 30 (10): 964-71.

Giordano, Salvatore, et al. “Povidone-iodine combined with antibiotic topical irrigation to reduce capsular contracture in cosmetic breast augmentation: a comparative study.” Aesthetic surgery journal 33.5 (2013):675-680.

Haas, David Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. Cochrane Database of Systematic Reviews. 2014 Dec 21;(12):CD007892. doi: 10.1002/14651858.CD007892.pub5.

Spinal Surgery: Prevention and Management of Infection. [Recommended Practices] 2013

Searched CINAHL, PubMed & Joanna Briggs. Keywords: Betadine or Povidone-iodine, postoperative

Reviewed by John Nemeth 4/14

Updated links for last two items, 10/16/2017 ldt