{"id":"https://openalex.org/W2097829823","doi":"https://doi.org/10.1377/hlthaff.2011.0047","title":"Preventing Bloodstream Infections: A Measurable National Success Story In Quality Improvement","display_name":"Preventing Bloodstream Infections: A Measurable National Success Story In Quality Improvement","publication_year":2011,"publication_date":"2011-04-01","ids":{"openalex":"https://openalex.org/W2097829823","doi":"https://doi.org/10.1377/hlthaff.2011.0047","mag":"2097829823","pmid":"https://pubmed.ncbi.nlm.nih.gov/21471482"},"language":"en","primary_location":{"id":"doi:10.1377/hlthaff.2011.0047","doi":"https://doi.org/10.1377/hlthaff.2011.0047","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2011.0047","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010533335","display_name":"Peter J. Pronovost","orcid":"https://orcid.org/0000-0002-9740-3775","observed_orcids":["https://orcid.org/0000-0002-9740-3775"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter J. Pronovost","raw_affiliation_strings":["Peter J. Pronovost ( ) is a professor of anesthesiology and critical care medicine, surgery, and health policy and management at the Johns Hopkins University, in Baltimore, Maryland. He is also the director of the Quality and Safety Research Group and the director of Adult Critical Care Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Peter J. Pronovost ( ) is a professor of anesthesiology and critical care medicine, surgery, and health policy and management at the Johns Hopkins University, in Baltimore, Maryland. He is also the director of the Quality and Safety Research Group and the director of Adult Critical Care Medicine","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081208522","display_name":"Jill A. Marsteller","orcid":"https://orcid.org/0000-0002-8458-954X","observed_orcids":["https://orcid.org/0000-0002-8458-954X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jill A. Marsteller","raw_affiliation_strings":["Jill A. Marsteller is an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Jill A. Marsteller is an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006630830","display_name":"Christine A. Goeschel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christine A. Goeschel","raw_affiliation_strings":["Christine A. Goeschel is director of strategic development and research initiatives for the Johns Hopkins Quality and Safety Research Group and an assistant professor in the Schools of Medicine, Nursing, and Public Health at Hopkins"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Christine A. Goeschel is director of strategic development and research initiatives for the Johns Hopkins Quality and Safety Research Group and an assistant professor in the Schools of Medicine, Nursing, and Public Health at Hopkins","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I145311948"],"apc_list":null,"apc_paid":null,"fwci":9.7096,"has_fulltext":false,"cited_by_count":92,"citation_normalized_percentile":{"value":0.9879568,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"30","issue":"4","first_page":"628","last_page":"634"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.6948000192642212,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.6948000192642212,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10641","display_name":"Central Venous Catheters and Hemodialysis","score":0.19979999959468842,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11681","display_name":"Nosocomial Infections in ICU","score":0.03889999911189079,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/central-line-associated-bloodstream-infection","display_name":"central line-associated bloodstream infection","score":0.9710000157356262},{"id":"https://openalex.org/keywords/bloodstream-infection-prevention","display_name":"bloodstream infection prevention","score":0.6940000057220459},{"id":"https://openalex.org/keywords/intensive-care-unit","display_name":"intensive care unit","score":0.7710000276565552},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.7730000019073486},{"id":"https://openalex.org/keywords/infection-control","display_name":"infection control","score":0.5699999928474426},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.8209999799728394},{"id":"https://openalex.org/keywords/stakeholder-collaboration","display_name":"stakeholder collaboration","score":0.7699999809265137},{"id":"https://openalex.org/keywords/michigan","display_name":"Michigan","score":0.3529999852180481}],"concepts":[{"id":"https://openalex.org/C3018946976","wikidata":"https://www.wikidata.org/wiki/Q650912","display_name":"Bloodstream infection","level":2,"score":0.6386052966117859},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.601453423500061},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.5705295205116272},{"id":"https://openalex.org/C166888038","wikidata":"https://www.wikidata.org/wiki/Q4118322","display_name":"Infection control","level":2,"score":0.5163115859031677},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4894784688949585},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.47194522619247437},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.44970250129699707},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4279301166534424},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.37453263998031616},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.2587616443634033},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1606583595275879},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002487","descriptor_name":"Centers for Disease Control and Prevention, U.S.","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016470","descriptor_name":"Bacteremia","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D017751","descriptor_name":"Safety Management","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055499","descriptor_name":"Catheter-Related Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1377/hlthaff.2011.0047","doi":"https://doi.org/10.1377/hlthaff.2011.0047","is_oa":false,"landing_page_url":"https://doi.org/10.1377/hlthaff.2011.0047","pdf_url":null,"source":{"id":"https://openalex.org/S4210185023","display_name":"Health Affairs","issn_l":"0278-2715","issn":["0278-2715","1544-5208","2694-233X"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","dongbi-a","doyens","fnege-2","jufo-2","medline","norway-1","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315983","host_organization_name":"Project HOPE","host_organization_lineage":["https://openalex.org/P4310315983"],"host_organization_lineage_names":["Project HOPE"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Affairs","raw_type":"journal-article"},{"id":"pmid:21471482","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21471482","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health affairs (Project Hope)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.49000000953674316,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W81782728","https://openalex.org/W110118339","https://openalex.org/W1593147992","https://openalex.org/W1618559642","https://openalex.org/W1972422132","https://openalex.org/W1991791540","https://openalex.org/W2006238323","https://openalex.org/W2020842956","https://openalex.org/W2047805825","https://openalex.org/W2056531136","https://openalex.org/W2066361360","https://openalex.org/W2116220956","https://openalex.org/W2124717344","https://openalex.org/W2132288811","https://openalex.org/W2134693199","https://openalex.org/W2136636673","https://openalex.org/W2140410324","https://openalex.org/W2140657380","https://openalex.org/W2157377992","https://openalex.org/W2159078156","https://openalex.org/W2180467749","https://openalex.org/W2187790984"],"related_works":["https://openalex.org/W2184804559","https://openalex.org/W2011847184","https://openalex.org/W4238512389","https://openalex.org/W2116220956","https://openalex.org/W2955756388","https://openalex.org/W4388034019","https://openalex.org/W4412392979","https://openalex.org/W2051006059","https://openalex.org/W2403257231","https://openalex.org/W7096071125"],"abstract_inverted_index":{"Over":[0],"the":[1,6,28,37,60,81,126],"past":[2],"decade,":[3],"advances":[4],"in":[5,20,41,91,104,118],"quality":[7,119],"of":[8,15,39,86,130],"care":[9,44],"have":[10],"been":[11,19],"slow.":[12],"One":[13],"area":[14],"success,":[16],"however,":[17],"has":[18,95,100],"combating":[21],"central":[22],"line-associated":[23],"bloodstream":[24],"infections.":[25,88],"Data":[26],"from":[27],"Centers":[29],"for":[30,124],"Disease":[31],"Control":[32],"and":[33,56,72,76,84,108,110,121,128],"Prevention":[34],"suggest":[35],"that":[36],"number":[38],"patients":[40],"US":[42],"intensive":[43],"units":[45],"suffering":[46],"a":[47,122],"central-line":[48],"infection":[49],"declined":[50],"by":[51,64],"63":[52],"percent":[53],"between":[54],"2001":[55],"2009.":[57],"We":[58],"describe":[59],"multistep":[61],"process":[62],"taken":[63],"many":[65],"stakeholders-states,":[66],"federal":[67],"agencies,":[68],"hospital":[69],"associations,":[70,74],"regulatory":[71],"nonprofit":[73],"clinicians,":[75],"local":[77],"hospitals-to":[78],"collaborate":[79],"on":[80],"successful":[82],"reduction":[83],"eradication":[85],"these":[87],"Having":[89],"begun":[90],"Michigan,":[92],"this":[93],"program":[94],"spread":[96],"to":[97],"forty-five":[98],"states,":[99],"shown":[101],"sustained":[102],"results":[103],"reducing":[105],"hospital-associated":[106],"infections":[107],"mortality,":[109],"constitutes":[111],"an":[112],"important":[113],"measurable":[114],"national":[115],"success":[116],"story":[117],"improvement":[120],"model":[123],"improving":[125],"health":[127],"safety":[129],"Americans.":[131]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":5},{"year":2016,"cited_by_count":8},{"year":2015,"cited_by_count":12},{"year":2014,"cited_by_count":9},{"year":2013,"cited_by_count":20},{"year":2012,"cited_by_count":10}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}