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A Multimodal Intervention to Reduce Urinary Catheter Use and Associated Infection at a Veterans Affairs Medical Center

Published online by Cambridge University Press:  02 January 2015

Brady L. Miller ,
Sarah L. Krein ,
Karen E. Fowler ,
Karen Belanger ,
Debbie Zawol ,
Crystal Bye ,
Mary Ann Rickelmann ,
JoEllyn Smith ,
Carol Chenoweth  and
Sanjay Saint
Brady L. Miller*
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan
Sarah L. Krein
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Karen E. Fowler
Affiliation:
Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Karen Belanger
Affiliation:
Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Debbie Zawol
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Crystal Bye
Affiliation:
Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Mary Ann Rickelmann
Affiliation:
Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
JoEllyn Smith
Affiliation:
Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Carol Chenoweth
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs Ann Arbor Hospital Outcomes Program of Excellence (HOPE) Initiative, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
*
Veterans Affairs Ann Arbor Health Care System, Health Services Research and Development, Center for Clinical Management Research (152), 2215 Fuller Road, Ann Arbor, MI 48105 (bradymil@med.umich.edu)
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Abstract

We assessed the impact of a quality improvement intervention to reduce urinary catheter use and associated urinary tract infections (UTIs) at a single hospital. After implementation, UTIs were reduced by 39% (P = .04). Additionally, we observed a slight decrease in catheter use and the number of catheters without an appropriate indication.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 6 , June 2013 , pp. 631 - 633
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Klevens, RM, Edwards, JR, Richards, CL Jret al.Estimating health care–associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122:160–166.CrossRefGoogle ScholarPubMed
2.Meddings, J, Rogers, MA, Macy, M, Saint, S. Systematic review and meta-analysis: reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients. Clin Infect Dis 2010;51:550–560.Google Scholar
3.Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA; Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010;31:319–326.Google Scholar
4.Saint, S, Krein, SL, Manojlovich, M, Kowalski, CP, Zawol, D, Shojania, KG. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf 2011;7:175–180.CrossRefGoogle ScholarPubMed
5. Centers for Disease Control and Prevention. Catheter-Associated Urinary Tract Infection (CAUTI) Event, http://www.cdc.gov/nhsn/pdfs/pscManual/7pscCAUTIcurrent.pdf. Published 2012. Accessed lune 28, 2012.Google Scholar
6.Saint, S, Chenoweth, CE. Biofilms and catheter-associated urinary tract infections. Infect Dis Clin North Am 2003;17:411–432.Google Scholar
7.Edwards, JR, Peterson, KD, Andrus, ML, Dudeck, MA, Pollock, DA, Horan, TC. National Healthcare Safety Network (NHSN) report, data summary for 2006 through 2007, issued November 2008. Am J Infect Control 2008;36:609–626.Google Scholar
8.Fakih, MG, Greene, MT, Kennedy, EH, et al.Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated urinary tract infection. Am J Infect Control 2012;40:359–364.Google Scholar
9.Crouzet, J, Bertrand, X, Venier, AG, Badoz, M, Husson, C, Talon, D. Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection. J Hosp Infect 2007;67:253–257.Google Scholar
10.Alho, JM. On prevalence, incidence, and duration in general stable populations. Biometrics 1992;48:587–592.CrossRefGoogle ScholarPubMed