{"id":"https://openalex.org/W4366365548","doi":"https://doi.org/10.1055/a-2077-4419","title":"Association between Electronic Health Record Implementations and Hospital-Acquired Conditions in Pediatric Hospitals","display_name":"Association between Electronic Health Record Implementations and Hospital-Acquired Conditions in Pediatric Hospitals","publication_year":2023,"publication_date":"2023-04-19","ids":{"openalex":"https://openalex.org/W4366365548","doi":"https://doi.org/10.1055/a-2077-4419","pmid":"https://pubmed.ncbi.nlm.nih.gov/37075806"},"language":"en","primary_location":{"id":"doi:10.1055/a-2077-4419","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1055/a-2077-4419","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2077-4419.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2077-4419.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013655852","display_name":"Naveed Rabbani","orcid":"https://orcid.org/0000-0002-9769-4437"},"institutions":[{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Naveed Rabbani","raw_affiliation_strings":["Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States","institution_ids":["https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034571129","display_name":"Natalie M. Pageler","orcid":"https://orcid.org/0000-0002-5853-289X"},"institutions":[{"id":"https://openalex.org/I97018004","display_name":"Stanford University","ror":"https://ror.org/00f54p054","country_code":"US","type":"education","lineage":["https://openalex.org/I97018004"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natalie M. Pageler","raw_affiliation_strings":["Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States","institution_ids":["https://openalex.org/I97018004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073741381","display_name":"James M. Hoffman","orcid":"https://orcid.org/0000-0002-2625-7766"},"institutions":[{"id":"https://openalex.org/I1313298211","display_name":"St. Jude Children's Research Hospital","ror":"https://ror.org/02r3e0967","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1313298211","https://openalex.org/I2802152183"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James M. Hoffman","raw_affiliation_strings":["Department of Pharmacy and Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy and Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, United States","institution_ids":["https://openalex.org/I1313298211"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052938070","display_name":"Chris Longhurst","orcid":"https://orcid.org/0000-0003-4908-6856"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chris Longhurst","raw_affiliation_strings":["Department of Biomedical Informatics, University of California San Diego Health, La Jolla, California, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, University of California San Diego Health, La Jolla, California, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091539056","display_name":"Paul J. Sharek","orcid":null},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I889937125","display_name":"National Patient Safety Foundation","ror":"https://ror.org/01df6fw27","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I889937125"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul J. Sharek","raw_affiliation_strings":["Center for Quality and Patient Safety, Seattle Children's, Seattle, Washington, United States","Department of Pediatrics, University of Washington, Seattle, Washington, United States"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Quality and Patient Safety, Seattle Children's, Seattle, Washington, United States","institution_ids":["https://openalex.org/I889937125"]},{"raw_affiliation_string":"Department of Pediatrics, University of Washington, Seattle, Washington, United States","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.6698,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.87521826,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"14","issue":"03","first_page":"521","last_page":"527"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.7391999959945679,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.7391999959945679,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"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/T10508","display_name":"Patient Safety and Medication Errors","score":0.147599995136261,"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/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.042899999767541885,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/medicine","display_name":"Medicine","score":0.712913453578949},{"id":"https://openalex.org/keywords/implementation","display_name":"Implementation","score":0.5846906304359436},{"id":"https://openalex.org/keywords/patient-safety","display_name":"Patient safety","score":0.5185823440551758},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.4990518093109131},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4759663939476013},{"id":"https://openalex.org/keywords/adverse-effect","display_name":"Adverse effect","score":0.44418567419052124},{"id":"https://openalex.org/keywords/bundle","display_name":"Bundle","score":0.44027748703956604},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.39339572191238403},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3856566250324249},{"id":"https://openalex.org/keywords/pediatrics","display_name":"Pediatrics","score":0.3572613298892975},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.137431800365448},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.08855834603309631}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.712913453578949},{"id":"https://openalex.org/C26713055","wikidata":"https://www.wikidata.org/wiki/Q245962","display_name":"Implementation","level":2,"score":0.5846906304359436},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.5185823440551758},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.4990518093109131},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4759663939476013},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.44418567419052124},{"id":"https://openalex.org/C2778134712","wikidata":"https://www.wikidata.org/wiki/Q1047307","display_name":"Bundle","level":2,"score":0.44027748703956604},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.39339572191238403},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3856566250324249},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.3572613298892975},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.137431800365448},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08855834603309631},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C192562407","wikidata":"https://www.wikidata.org/wiki/Q228736","display_name":"Materials science","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/C159985019","wikidata":"https://www.wikidata.org/wiki/Q181790","display_name":"Composite material","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","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":true},{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003428","descriptor_name":"Cross Infection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006776","descriptor_name":"Hospitals, Pediatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006776","descriptor_name":"Hospitals, Pediatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006776","descriptor_name":"Hospitals, Pediatric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006776","descriptor_name":"Hospitals, Pediatric","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":"D006801","descriptor_name":"Humans","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","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":"D055499","descriptor_name":"Catheter-Related Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D055499","descriptor_name":"Catheter-Related Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D055499","descriptor_name":"Catheter-Related Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1055/a-2077-4419","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1055/a-2077-4419","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2077-4419.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},{"id":"pmid:37075806","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37075806","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,"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":"Applied clinical informatics","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10338103","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10338103","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10338103/pdf/10-1055-a-2077-4419.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Appl Clin Inform","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1055/a-2077-4419","is_oa":true,"landing_page_url":"http://dx.doi.org/10.1055/a-2077-4419","pdf_url":"http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2077-4419.pdf","source":{"id":"https://openalex.org/S187139995","display_name":"Applied Clinical Informatics","issn_l":"1869-0327","issn":["1869-0327"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Clinical Informatics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/17","display_name":"Partnerships for the goals","score":0.4099999964237213}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4366365548.pdf","grobid_xml":"https://content.openalex.org/works/W4366365548.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W161840979","https://openalex.org/W1539165814","https://openalex.org/W1976110061","https://openalex.org/W2017574619","https://openalex.org/W2049154391","https://openalex.org/W2098001923","https://openalex.org/W2135445066","https://openalex.org/W2157069442","https://openalex.org/W2161554615","https://openalex.org/W2162040788","https://openalex.org/W2166074549","https://openalex.org/W2175323185","https://openalex.org/W2395910053","https://openalex.org/W2502504834","https://openalex.org/W2527709935","https://openalex.org/W2561914342","https://openalex.org/W2615342029","https://openalex.org/W2746625644","https://openalex.org/W2748099698","https://openalex.org/W2804795170","https://openalex.org/W2805066529","https://openalex.org/W2810595871","https://openalex.org/W2883565265","https://openalex.org/W2893043319","https://openalex.org/W2902934944","https://openalex.org/W2993766639","https://openalex.org/W3101984434","https://openalex.org/W6771590602"],"related_works":["https://openalex.org/W2120447654","https://openalex.org/W2977179488","https://openalex.org/W2144453115","https://openalex.org/W2128223750","https://openalex.org/W4238532390","https://openalex.org/W2188872161","https://openalex.org/W2002978035","https://openalex.org/W2961779879","https://openalex.org/W2018587701","https://openalex.org/W2333550262"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Implementing":[2],"an":[3,83,90,128,297],"electronic":[4],"health":[5,17],"record":[6],"(EHR)":[7],"is":[8,34,82],"one":[9],"of":[10,24,30,52,72,103,131],"the":[11,28,70,86,123,143,149,208,252,271,294],"most":[12],"disruptive":[13],"operational":[14],"tasks":[15],"a":[16,50,201],"system":[18],"can":[19],"undergo.":[20],"Despite":[21],"anecdotal":[22],"reports":[23],"adverse":[25,165],"events":[26],"around":[27],"time":[29,87],"EHR":[31,73,91,111,206,272,298],"implementations,":[32],"there":[33,81,199],"limited":[35],"corroborating":[36],"research,":[37],"particularly":[38],"in":[39,64,98,142,177,259,264,283,288,293],"pediatrics.":[40,99],"We":[41],"utilized":[42],"data":[43,58],"from":[44],"Solutions":[45],"for":[46],"Patient":[47],"Safety":[48],"(SPS),":[49],"network":[51],"145+":[53],"children's":[54],"hospitals":[55],"that":[56],"share":[57],"and":[59,93,116,137,147,175,187,193,226,236,285],"protocols":[60],"to":[61,68,126,179,219,224,231,248],"reduce":[62],"harm":[63],"pediatric":[65,108],"care":[66,138,182,290],"delivery,":[67],"study":[69,278],"impact":[71],"implementations":[74,112],"on":[75],"patient":[76],"safety.":[77],"Objective":[78],"Determine":[79],"if":[80,198],"association":[84,204],"between":[85,114,251],"immediately":[88],"surrounding":[89,296],"implementation":[92,273],"hospital-acquired":[94],"conditions":[95],"(HACs)":[96],"rates":[97,141,239,250,261,267],"Methods":[100],"A":[101],"survey":[102],"information":[104],"technology":[105],"leaders":[106],"at":[107],"institutions":[109],"identified":[110],"occurring":[113],"2012":[115],"2022.":[117],"This":[118,276],"list":[119],"was":[120,200,211,268],"cross-referenced":[121],"with":[122,205],"SPS":[124],"database":[125],"create":[127],"anonymized":[129],"dataset":[130],"27":[132],"sites":[133],"comprising":[134],"monthly":[135,234],"HAC":[136,235,260],"bundle":[139,183,237,265,291],"compliance":[140,184,238,266,292],"7":[144],"months":[145,295],"preceding":[146],"succeeding":[148],"transition.":[150],"Six":[151],"HACs":[152,284],"were":[153,240,246],"analyzed:":[154],"central-line":[155],"associated":[156,181],"bloodstream":[157],"infection":[158,163],"(CLABSI),":[159],"catheter-associated":[160],"urinary":[161],"tract":[162],"(CAUTI),":[164],"drug":[166],"events,":[167],"surgical":[168],"site":[169],"infections":[170],"(SSIs),":[171],"pressure":[172],"injuries":[173],"(PIs),":[174],"falls,":[176],"addition":[178],"four":[180],"rates:":[185],"CLABSI":[186],"CAUTI":[188],"maintenance":[189],"bundles,":[190],"SSI":[191],"bundle,":[192],"PI":[194],"bundle.":[195],"To":[196],"determine":[197],"statistically":[202,256],"significant":[203,257,281],"implementation,":[207],"observation":[209],"period":[210],"divided":[212],"into":[213],"three":[214],"eras:":[215],"\u201cbefore\u201d":[216],"(months":[217,222,229],"\u22127":[218],"\u22123),":[220],"\u201cduring\u201d":[221],"\u22122":[223],"+2),":[225],"\u201cafter\u201d":[227],"go-live":[228],"+3":[230],"+7).":[232],"Average":[233],"calculated":[241],"across":[242,270],"eras.":[243,253,274],"Paired":[244],"t-tests":[245],"performed":[247],"compare":[249],"Results":[254],"No":[255],"increase":[258,282],"or":[262],"decrease":[263,287],"observed":[269],"Conclusion":[275],"multisite":[277],"detected":[279],"no":[280,286],"preventive":[289],"implementation.":[299]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2024,"cited_by_count":3}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}