"Lose the Tube": A Choosing Wisely initiative to reduce catheter-associated urinary tract infections in hospitalist-led inpatient units

We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.

American journal of infection control. 2016 Dec 02 [Epub ahead of print]

Hyung J Cho, Steve Khalil, Jashvant Poeran, Madhu Mazumdar, Nathaniel Bravo, Fran Wallach, Brian Markoff, Nathan Lee, Andrew S Dunn

Department of Medicine, Mount Sinai Hospital, New York, NY. Electronic address: ., Department of Medicine, Rutgers University Robert Wood Johnson Medical School, New Brunswick, NJ., Department of Population Health Science and Policy, Mount Sinai Health System, New York, NY., Department of Infection Prevention and Control, Mount Sinai Health System, New York, NY., Department of Medicine, Mount Sinai Health System, New York, NY., Department of Medicine, Mount Sinai Hospital, New York, NY., Icahn School of Medicine at Mount Sinai, New York, NY.

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