De-implementation strategy to Reduce the Inappropriate use of urinary and intravenous CATheters: study protocol for the RICAT-study

Autor: Brent C. Opmeer, Berend C Pasmooij, Bart J Laan, Suzanne E. Geerlings, Ingrid J B Spijkerman, Marjon J. Borgert, Margreet C. Vos, Jolanda M. Maaskant, Mieke H. Godfried
Přispěvatelé: Medical Microbiology & Infectious Diseases, General Internal Medicine, AII - Infectious diseases, Amsterdam institute for Infection and Immunity, Nursing, Patient Care Support, Epidemiology and Data Science, Master Evidence Based Practice, Graduate School, APH - Methodology, Clinical Research Unit, APH - Quality of Care, Infectious diseases, Faculteit Gezondheid, Kenniscentrum ACHIEVE
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Research design
Adult
Male
medicine.medical_specialty
Catheterization
Central Venous
Catheter-Related Infections/prevention & control
Urinary system
Interrupted time series
Cost-Benefit Analysis
Psychological intervention
Bacteremia
Urinary Tract Infections/prevention & control
Healthcare quality improvement
030501 epidemiology
Unnecessary Procedures
Urinary Catheters
Interrupted Time Series Analysis
03 medical and health sciences
Study Protocol
0302 clinical medicine
Catheters
Indwelling
Health care
Catheterization
Peripheral
medicine
Clinical endpoint
Humans
030212 general & internal medicine
Prospective Studies
Intensive care medicine
Netherlands
Protocol (science)
business.industry
Quality Improvement
Catheter
Infectious Diseases
Research Design
Implementation
Catheter-Related Infections
Urinary Tract Infections
Female
0305 other medical science
business
Urinary Catheterization
Zdroj: BMC Infectious Diseases
BMC Infectious Diseases, 17:53. BioMed Central Ltd.
BMC infectious diseases, 17(1). BioMed Central
ISSN: 1471-2334
Popis: BACKGROUND: Urinary and (peripheral and central) intravenous catheters are widely used in hospitalized patients. However, up to 56% of the catheters do not have an appropriate indication and some serious complications with the use of these catheters can occur. The main objective of our quality improvement project is to reduce the use of catheters without an appropriate indication by 25-50%, and to evaluate the affecting factors of our de-implementation strategy.METHODS: In a multicenter, prospective interrupted time series analysis, several interventions to avoid inappropriate use of catheters will be conducted in seven hospitals in the Netherlands. Firstly, we will define a list of appropriate indications for urinary and (peripheral and central) intravenous catheters, which will restrict the use of catheters and urge catheter removal when the indication is no longer appropriate. Secondly, after the baseline measurements, the intervention will take place, which consists of a kick-off meeting, including a competitive feedback report of the baseline measurements, and education of healthcare workers and patients. Additional strategies based on the baseline data and local conditions are optional. The primary endpoint is the percentage of catheters with an inappropriate indication on the day of data collection before and after the de-implementation strategy. Secondary endpoints are catheter-related infections or other complications, catheter re-insertion rate, length of hospital (and ICU) stay and mortality. In addition, the cost-effectiveness of the de-implementation strategy will be calculated.DISCUSSION: This study aims to reduce the use of urinary and intravenous catheters with an inappropriate indication, and as a result reduce the catheter-related complications. If (cost-) effective it provides a tool for a nationwide approach to reduce catheter-related infections and other complications.TRIAL REGISTRATION: Dutch trial registry: NTR6015 . Registered 9 August 2016.
Databáze: OpenAIRE
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