Decreasing Catheter-Associated Urinary Tract Infections in Urologic Oncology Patients Discharged With an Indwelling Urinary Catheter: A Quality Improvement Project
| Autor: | Tammy S. Spencer, Kathy Shaw, Mary Beth Flynn Makic |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Urologic Neoplasms medicine.medical_specialty Quality management Urinary system Population Urologic Oncology Urinary Catheters 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Patient Education as Topic Preoperative Care Humans Medicine 030212 general & internal medicine education Device Removal Aged education.field_of_study 030504 nursing business.industry Perioperative Length of Stay Middle Aged Quality Improvement Indwelling urinary catheter Patient Discharge Medical–Surgical Nursing Catheter Catheter-Related Infections Urinary Tract Infections Emergency medicine Female Urinary Catheterization 0305 other medical science business Patient education |
| Zdroj: | Journal of PeriAnesthesia Nursing. 34:394-402 |
| ISSN: | 1089-9472 |
| Popis: | Purpose Few strategies exist regarding decreasing catheter-associated urinary tract infections (CAUTIs) in the outpatient urologic oncology population discharged with an indwelling urinary catheter (IUC). Design A quality improvement methodology using a premeasurement-postmeasurement structure was used to study the impact of process interventions on reducing CAUTIs. Methods Creation of IUC outpatient materials, an “IUC Removal Form,” and bundling IUC supplies were translated to an outpatient and perioperative setting to reduce CAUTIs. Findings The CAUTI rate in urologic surgical patients requiring an IUC at discharge decreased from 12.5% to 8%. Preoperative IUC education increased from 0% to 100%. The average number of days the IUC was present was unchanged. The average postanesthesia care unit length of stay decreased from 1.98 to 1.32 hours, saving the organization $11,880.00. IUC removal appointments at discharge increased from 4% to 33% (P = .0146). Conclusions Implementation of consistent patient education and improved process for IUC removal reduced CAUTIs in this population. |
| Databáze: | OpenAIRE |
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