Reducing catheterassociated urinary tract infections in home. The most effective way to eliminate the possibility of a cauti is to eliminate an unneeded catheter. Catheterassociated urinary tract infection ihi institute. Compliance with each bundle element as well as overall compliance has risen steadily since implementation.
Sps prevention bundles solutions for patient safety. The cauti maintenance bundle is to optimize the care of patients who require urinary catheterization during acute care, and to ensure that urinary catheters are removed as soon as clinically indicated. The cut cauti prevention bundle is intended to be used in all patient care areas in acute care hospitals. We would love to say we have mastered the formula for success but we are committed to reducing patient harm and would be thrilled if you left here today with some tools for looking at this at your facility. Elc prevention collaboratives carolyn gould, md mscr division of healthcare quality promotion centers for disease control and prevention disclaimer. This is a cauti rate analysis for a specific time period of your choice.
The analysis documents the units being monitored, the number of cautis on the unit, the number of indwelling cath or device days, the calculated cauti rate for each unit, the nnisnhsn cauti pooled mean for comparison the indwelling catheter utilization ratio for that. To achieve cauti reduction and sustain these improvements, a strategy to address both unit culture and clinical practice is necessary. There are estimated to be 449,334 cauti events per year. We also hope to test the patient education videos with a patient focus group. To optimise prevention of catheterassociated urinary tract infection cauti in our ward and thereby minimise the risk of secondary bacteraemias. In light of this, a colleague and i developed a uti prevention utip bundled protocol of several preventive measures. Jun 08, 2016 the researchers found that cauti rates decreased by 32% in nonicus from 2. Catheterassociated urinary tract infections cautis. Guideline for prevention of catheterassociated urinary tract infections 2009 u. Research tells us that the rate of hais in ltcf residents is between one to three million annually. Cauti is the most common type of healthcareassociated infection, accounting for more than 30% of acute care hospital infections. However, a challenge to the bundle approach is deciding which elements to include and keeping the bundle short enough to be monitored easily.
B bladder ultrasound may avoid indwelling catheterization. Catheterassociated urinary tract infection cauti toolkit activity c. According to the centers for disease control and prevention cdc, approximately 75 percent of utis are associated with urinary catheters. Introduction the urinary tract infection uti is the most common type of health careassociated infection. Prevention of catheter associated urinary tract infection cauti compatibility mode 1.
We would love to say we have mastered the formula for success but we are committed to reducing patient harm and would be thrilled if you left here today with some tools for. The cauti insertion pack would be useful to improve practice in areas where urinary catheters are inserted, but patients are transferred to. Cauti is a common and harmful healthcare associated infection. Dec 31, 20 prevention of catheter associated urinary tract infection cauti compatibility mode 1. The bundle protocol was adapted from a bladder bundle protocol developed by members of the keystone. The findings and conclusions in th is presentation are those of the authors and do not necessarily represent the views of the c enters for disease control and prevention. The bundle tool kit is a collection of supporting resources and tools to assist hospitals in implementing the bundle.
One tactic is to separate the insertion bundle from the maintenance bundle. Strategies to prevent catheterassociated urinary tract. Meatal care with soap and water every shift and prn start from meatal area outward towards catheter perineal care after each bowel movement maintain unobstructed urinary flow. C condom or intermittent catheterization in appropriate patients.
Systems approach to cauti elimination ut southwestern page 15 next steps. Carolyn gould, md mscr division of healthcare quality promotion centers for disease control and prevention. The central line bundle the central line bundle is a group of evidencebased interventions for patients with intravascular central catheters that, when implemented together, result in better outcomes than when implemented individually. Meatal care with soap and water every shift and prn start from meatal area outward towards catheter perineal care after each bowel movement maintain unobstructed urinary flow check for kinks and dependent loops in. Translating healthcareassociated urinary tract infection prevention research into practice via the bladder bundle. Resources catheterassociated urinary tract infections. Catheterassociated urinary tract infectionscauti title description. Decreasing cauti using breakthrough method and teamstepps. Requirements before the cauti bundle procedure can be considered quality improvement must be continuous. Joint commission journal on quality and patient safety joint commission resources. Catheter associated urinary tract infection cauti prevention. Based on the spsp his guidelines for cauti, the qifs also designed two cauti data collection tools, a cauti data collection tool to capture cauti count, cauti rate and cauti days between and the cauti bundle compliance measurement tool to monitor the reliability of the bundle as a reflection of the care being delivered. The infographic is too large for display here, and can be accessed from the pdf file.
Jul 10, 2018 timeseries measures were obtained for cauti knowledge at three discrete intervals. The rate of cauti episodes per catheterdays was reduced by 52% p cauti team at sps formed in may of 2012 to develop strategies consistent with high reliability concepts to reduce harm caused by cauti, and released the first recommended bundle to the network. During the study period, 33 of the 2228 patients were diagnosed with a cauti. For the 7 months following the implementation of the fourth intervention, the ir was 1. In addition, rehospitalizations from ltcfs are increasing, with urinary tract infections utis being the second most common. Infection is the most important adverse outcome of urinary catheter use. Mobile technology, justintime learning and gamification. Bladder bundle a aseptic insertion and proper maintenance is paramount. Eliminating catheter associated urinary tract infection cauti. Nurses arent the only clinicians who interact with catheterized patients, so a special session was held for nonnursing staff, such as physical therapists and transport personnel. The strategy has been successful with a 25% cauti reduction across the network as of may 2014. Reduction in catheterassociated urinary tract infections by. The most important risk factor for developing a catheterassociated uti cauti is. The ed cauti reduction task forced performed extensive root cause analysis rca to identify the contributing factors for these insertion.
To be able to demonstrate quality urinary catheter care in our ward. Purpose childrens hospital of san antonio eliminating cauti a systems approach dana rohman, rn, bsn, cpn leann dudley vela, rn, msn, ccrn kristin mattingly, rn, bsn. U, unresolved choice left to individual and patient factors. Prevention of catheter associated urinary tract infection.
Development and implementation of a catheter associated. This poster educates and motivates staff to follow evidencebased cauti prevention practices in three domains. Catheterassociated urinary tract infection cauti toolkit. Reducing catheterassociated urinary tract infections. Resources catheterassociated urinary tract infections cauti. Cauti prevention and urinary catheter maintenance american. D do not use the indwelling catheter unless you must. Tcps and the cmo society worked together to target cauti rapid improvement. The units also decreased the overall use of catheters from 20. Proper maintenance use standard precautions and hand hygiene when handling catheter or drainage system. Evaluation of the utilization of catheter associated urinary. We plan to test the cauti prevention video modules in october 20 to a focus group and perform usability studies with questionnaires, interviews, and online chat venues. Catheter associated urinary tract infections cauti table of contents.
Sep 11, 2015 based on the spsp his guidelines for cauti, the qifs also designed two cauti data collection tools, a cauti data collection tool to capture cauti count, cauti rate and cauti days between and the cauti bundle compliance measurement tool to monitor the reliability of the bundle as a reflection of the care being delivered. This contributed to an overall increase in bundle compliance. Healthcare associated urinary tract infections it is the most common type 40% of ni involving both ltc and acute hospital settings instrumentation is almost always associated with all cases being the most common it is the most preventable adults and children are equally affected. This contributes to nearly 400,000 deaths per year. The rate of cauti episodes per catheterdays was reduced by 52% p through our collaboration with medline, we have achieved some dramatic results and i attribute that to the welldesigned program by medline. Conduct rigorous monitoring and offer frequent feedback. Multiple studies have provided insight into the effectiveness of care bundles to prevent cauti. Reducing cauti in the icu while improving safety culture april 16, 2015 florida hospital association 1 cauti prevention 1 cauti prevention an overview of the latest evidence linda r. Training emphasized the maintenance bundle and daily reevaluation of the continued need for a catheter. Candidemia bundle results higher rate of clinical success in patients with bundle compliance 92.
National study supports care bundles to reduce cauti rates. The findings and conclusions in th is presentation are those of the authors and do not. Through education, a standardized care bundle and efforts to minimize urinary catheter use and duration, choc childrens achieved meaningful improvements in cautis, including an overall reduction in cauti rate with only one instance in 2016, an increase in months with zero cases of cauti, and a decrease in use of. Tcps implemented a targeted catheterassociated urinary tract infections cauti action plan to reengage hospital and physician leadership and rapidly drive improvement to prevent cautis, with support from the tha board of directors and chief medical officer cmo society. Catheterassociated urinary tract infection care bundle.
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