Annotated Bibliography
Katie Sapkosky
University of Phoenix
HCS/ 465 Week 2
Annotated Bibliography
Yakusheva, O., Costa, D. K., Bobay, K. L., Parada, J. P., & Weiss, M. E. (2019). Variability in catheter-associated asymptomatic bacteriuria rates among individual nurses in intensive care units: An observational cross-sectional study. PLoS ONE, 14(7), 1–16.
This article was written by five highly respectable health sciences professors who present an investigation of the variability of in CAABU-free outcomes of individual ICU nurses, based on the results of the sample analysis. The study was based on the question,” If does the intervention by ICU nurses towards CAABU-free outcomes vary? Further, the study was also based on a hypothesis that CAABU-free outcomes among individual ICU nurses vary between Neuro ICU and MICU nurses. However, considering that CAABU infections were common ICU and ICU nurses have a critical role in preventing Catheter-associated urinary tract infections (CAUTI) among ICU patients, Yakusheva and his colleagues used the systematic sampling method to choose a sample of 94 registered nurses and also 2150 patients. Their s study’s sample was from an academic medical center in the Midwestern US, where data was collected from the electronic health records of the two ICU centers at the academic medical center. The latter medical center used MedminedTM, infection surveillance software to track CAABU infections acquired when the patients with an indwelling urinary catheter were at the ICU. Administrative Health Care Annotated Bibliography
Further, a descriptive analysis of the collected data was later done and various descriptive statistics, including the mean, standard deviation, counts and percentages of the infected patients generated. Using Cohen’s Chi-squared joint test of significance, the null hypothesis was tested and the correlation coefficients of the outcomes calculated using the VAM measurement approach where Stata15.0 statistical software was used. From the analysis, Yakusheva and his colleagues found out that there were significant variations in CAABU-free outcomes of individual nurses, where some nurses had one case in 100 shifts. In contrast, others had 3 to 5 cases in 100 shifts. The authors, therefore, recommended that the approach could also be used to study other hospital-acquired infections to improve healthcare delivery to patients. Conclusively, with this knowledge of the variations in the CAABU-free outcomes of individual nurses, the authors stated that it would be used to strengthen clinical care teams to improve the quality of care provided to patients, especially those with indwelling urinary catheters. Administrative Health Care Annotated Bibliography
Kahn, J., Davis, B., Yabes, J., Chang, C., Chong, D., & Hershey, T. et al. (2019). Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults with Sepsis. JAMA, 322(3), 240.
In this article, the authors take up the task of investigating whether there exists a connection between state-mandated protocolized sepsis care and in-hospital mortality among adults with sepsis. Their major purpose for conducting this investigation was to determine if the established New York State sepsis regulations contributed to a decrease in the number of adult deaths resulting from sepsis. However, the major question in this study was if the state-mandated protocolized sepsis care had reduced the number of deaths of in-hospital adult patients suffering from sepsis where they were implemented compared to where they were not implemented. However, this work was, therefore, based on the hypothesis that state-mandated protocolized sepsis care reduced the in-hospital mortality among adults with sepsis where they were implemented. The authors majorly gathered data for this study from the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project State Inpatient Database. However, a total population of 1,012,410 adult patients suffering from sepsis was used in the study. These patients were both from New York and the other control states of Florida, Maryland, Massachusetts, and New Jersey. Administrative Health Care Annotated Bibliography
The collected data was further analyzed and compared using the interrupted time series approach to determine the correlation between the State-Mandated Protocolized Sepsis Care and the in-hospital adult deaths resulting from sepsis in New York and also the other states during the pre-implementation and post-implementation periods. Results from the investigation by thus showed that state-mandated protocolized sepsis care actually reduced the in-hospital mortality rate since where the regulations were introduced. Further, the adjusted mortality risk in New York was higher than in the control states after implementation of the sepsis care regulations, which shows that there was actually an association between these regulations and the rate of in-hospital mortality of patients with sepsis. Therefore, the authors recommend that all levels of government support state-mandated protocolized sepsis care, for it reduces the mortality rate. Conclusively, since the mortality rates in New York differed from other states, this was enough evidence of the impact of such regulations proving the vital association of the regulations with the rate of the in-hospital mortality rate of sepsis patients. Administrative Health Care Annotated Bibliography
Administrative Health Care Annotated Bibliography References
Kahn, J., Davis, B., Yabes, J., Chang, C., Chong, D., & Hershey, T. et al. (2019). Association Between State-Mandated Protocolized Sepsis Care and In-hospital Mortality Among Adults with Sepsis. JAMA, 322(3), 240.
Yakusheva, O., Costa, D. K., Bobay, K. L., Parada, J. P., & Weiss, M. E. (2019). Variability in catheter-associated asymptomatic bacteriuria rates among individual nurses in intensive care units: An observational cross-sectional study. PLoS ONE, 14(7), 1–16. Sapkosky, K. (2020) Student at the University of Phoeni