Nurse-directed interventions to reduce catheter-associated urinary tract infections - 31/07/12
, Mary Beth Flynn Makic, RN, PhD, CNS, CCNS a, b, Regina Fink, RN, PhD, AOCN, FAAN a, Nicolle Schraeder, RN, MS c, Teresa Hulett, RN, BSN a, Tarah Keech, MA d, Heidi Wald, MD, MSPH d
Address correspondence to Kathleen S. Oman, RN, PhD, FAEN, FAAN, University of Colorado Hospital, 12401 E 17th Avenue, Mail Stop 901, Aurora, CO 80045.Abstract |
Background |
Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly, and 10% develop urinary tract infections. Evidence-based guidelines exist for indwelling urinary catheter management but are not consistently followed.
Methods |
A pre/post intervention design was used in this quality improvement project to test the impact of nurse-driven interventions based on current evidence to reduce CAUTIs in hospitalized patients on 2 medical/surgical units. Interventions consisted of hospital-wide strategies including policy and product improvements and unit-specific strategies that focused on a review of current evidence to guide practice.
Results |
The number of catheter days decreased from 3.01 to 2.2 (P = .018) on the surgery unit and from 3.53 to 2.7 (P = .076) on the medical unit. CAUTI rates were too low to achieve significant reduction. Product cost savings were estimated at $52,000/year.
Conclusion |
Guidelines derived from research and other sources of evidence can successfully improve patient outcomes. Nurse-driven interventions, combined with system-wide product changes, and patient and family involvement may be effective strategies that reduce CAUTI.
Le texte complet de cet article est disponible en PDF.Key Words : CAUTI, Foley catheter
Plan
| Conflicts of interest: None to report. |
Vol 40 - N° 6
P. 548-553 - août 2012 Retour au numéro
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