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.
Purvis S, Gion T, Kennedy G, Rees S, Safdar N, VanDenBergh S, Weber J. Are you the author?
Nursing Practice Innovation, Quality and Safety, Development, Nursing & Patient Care Services, General Medicine & Geriatrics/Family Practice & Forensics, and Transplant & General Surgery, University of Wisconsin Hospital and Clinics, Madison, Wisconsin; Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; and Division of Infectious Diseases, Department of Medicine, University of Wisconsin School of Medicine and Public Health and the William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Reference: J Nurs Care Qual. 2014 Apr-Jun;29(2):141-8.