Journal of nursing care quality · 2014
Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged initiative at an academic medical center.
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Purvis Suzanne, Gion Therese, Kennedy Gregory, Rees Susan, Safdar Nasia, VanDenBergh Shelly, Weber Jessica
Аннотация
An interdisciplinary clinical improvement workgroup was formed at this academic medical center with the goal of reducing catheter-associated urinary tract infections (CAUTIs). In 2011, the CAUTI rate was noted to be 4.7 CAUTIs per 1000 catheter days. Rounding by 2 lead clinical nurse specialists revealed deficiencies in current practice, which were addressed with multifaceted strategies, including evidence-based indwelling urinary catheter and bladder management protocols, education of staff, reporting of data, and utilization of an icon in the electronic health record (EHR). After the implementation of these strategies, the CAUTI rate decreased and was noted to be 2.4 in February 2013. In addition to this, there was a downward trend line for catheter days.