A Nurse-Driven Protocol for Removal of Indwelling Urinary Catheters Across a Multi-Hospital Academic Healthcare System.

Urologic nursing Pub Date : 2016-09-01
Bridget Major-Joynes, David Pegues, Christine Bradway
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Abstract

Catheter-associated urinary tract infections (CAUTIs) are one of the most common hospital-acquired infections in the United States. Because of persistently high CAUTI rates despite evidence-based interventions, we designed and implemented a performance improvement nurse-driven removal protocol for indwelling urinary catheters. Post-implementation, both catheter utilization and CAUTIs decreased significantly at the one hospital with the highest baseline rates; at the two hospitals with low baseline rates, the impact of the protocol varied. This project highlights important steps in developing and implementing a nurse-driven removal protocol across a multi-hospital academic healthcare system.

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跨多医院学术医疗保健系统的留置导尿管移除的护士驱动协议。
导尿管相关性尿路感染(CAUTIs)是美国最常见的医院获得性感染之一。尽管有循证干预措施,但由于CAUTI的发生率仍然很高,我们设计并实施了一项性能改进护士驱动的留置导尿管拔除方案。实施后,在基线率最高的一家医院,导管使用率和CAUTIs均显著下降;在基线率较低的两家医院,该方案的影响各不相同。该项目强调了在多医院学术医疗保健系统中制定和实施护士驱动的移除协议的重要步骤。
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