AUA 2016: Can a computerized ordering system reduce Foley catheter trauma?

Study looked at the use of a computerized ordering system to prevent urologic intervention for Foley catheter-related trauma (FCRT).  These authors designed and implemented a set of simplified questions in an electronic medical record ordering system aimed at FCRT prevention. 
Catheter placement order prompted a series of questions (e.g. history of enlarged prostate, difficult catheterizations) to pop up in the electronic system.  If the answer to any question was yes, the flow chart recommended a 16/18 Fr Coude tip.  After two unsuccessful attempts, a urology consult was placed.  The authors did not find a significant difference in frequency of FCRT or urologic consultations after implementation of the computerized ordering system.

Presented by: Ted Lee, et al. at 2016 AUA Annual Meeting - May 6 - 10, 2016 – San Diego, California, USA

Written by:
Diane K. Newman, DNP, Adjunct Professor of Urology in Surgery, Research Investigator Senior and Co-Director, Penn Center for Continence and Pelvic Health

University of Pennsylvania, Division of Urology, 3400 Spruce Street, 3rd Floor Perelman Bldg, Philadelphia, PA. 19104