Reduction of Catheter-Associated Urinary Tract Infections A Multidisciplinary Approach to Driving Change

被引:5
作者
Baker, Susan [1 ]
Shiner, Darcy [1 ]
Stupak, Judy [1 ]
Cohen, Vicki [1 ]
Stoner, Alexis [1 ]
机构
[1] Allegheny Gen Hosp, 320 East North Ave,15th Floor, Pittsburgh, PA 15212 USA
关键词
catheter-associated; external female urinary management; hospital-acquired; indwelling urinary catheter; urinary tract infections;
D O I
10.1097/CNQ.0000000000000429
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Despite the many advancements in infection prevention, catheter-associated urinary tract infections (GAUTI) continue to be problematic for many hospitals. The large urban teaching hospital featured in this article developed a team that consisted of a registered nurse quality Lean coach, bedside nurses from each inpatient nursing unit, physicians, an infection prevention specialist nurse, an education specialist nurse, and members of the quality department to study this matter. The team focused on understanding current practice related to the use and duration of indwelling urinary catheters. It was discovered that while some indwelling urinary catheters were justified, others could have been avoided altogether or removed earlier. Multifaceted measures were instituted at this hospital to decrease indwelling urinary catheter days and reduce CAUTI rates. The team's journey to successfully decreasing indwelling urinary catheter days by 19.79% and CAUTI rates by 38% is highlighted.
引用
收藏
页码:290 / 299
页数:10
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