Urinary catheter alleviation navigator protocol (UCANP): Update to the hospital-wide implementation at a single tertiary health care center.

Autor: Suleyman G; Quality Administration, Henry Ford Health, Detroit, MI. Electronic address: gsuleym2@hfhs.org., McCormick ME; Department of Urology, Henry Ford Health, Detroit, MI., McLenon N; Medical Group Administration, Henry Ford Health, Detroit, MI., Chami E; Perform Excellence & Quality, Henry Ford Hospital, Detroit, MI., Pollak E; Quality Administration, Henry Ford Health, Detroit, MI., Dabaja AA; Department of Urology, Henry Ford Health, Detroit, MI.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2024 Nov; Vol. 52 (11), pp. 1269-1272. Date of Electronic Publication: 2024 Jun 12.
DOI: 10.1016/j.ajic.2024.06.001
Abstrakt: Background: Catheter-associated urinary tract infections are commonly reported health care-associated infections. It was demonstrated that the urinary catheter alleviation navigator protocol (UCANP) pilot resulted in a reduction of catheter utilization and catheter days.
Methods: Quality improvement initiative that was implemented at a single urban, tertiary health care center, focusing on early discontinuation of indwelling urinary catheters (IUCs) and avoidance of reinsertion. The protocol was expanded hospital-wide from September 2020 to April 2022. We compared IUC utilization, IUC standardized utilization ratio (SUR), and catheter-associated urinary tract infection standardized infection ratio in the preintervention period (March 2020 to August 2020) to the postintervention period (May 2022 to October 2022).
Results: Preimplementation, 2 patients with IUC removal were placed on UCANP. Postimplementation, 835 (45%) patients with IUC removal participated in the protocol. The number of patients requiring IUC reinsertion did not differ among the 2 groups. IUC utilization was significantly decreased from 0.28 to 0.24 with a 14% reduction (P = .025). SUR decreased by 11% from 0.778 to 0.693 (P = .007) and standardized infection ratio by 84% from 0.311 to 0.049 (P = .009).
Conclusions: Our protocol significantly reduced IUC utilization and SUR after hospital-wide implementation. UCANP is a safe and effective strategy that can potentially decrease unnecessary IUCs in patients with transient urinary retention.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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