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Beth Israel Deaconess Hospital-Milton
CAUTI: Sustaining the Reduction and Elimination of Preventable Patient Harm
The Results/Progress to Date
The Problem
Catheter-associated urinary tract infection (CAUTI) is the most common hospital
associated infection (HAI), accounting for more than 1 million cases each year in
US hospitals and nursing homes (Behnaz, 2012). The significant number of
infections, associated costs, potential for patient harm and dissemination of
resistant bacteria in hospitals make it important to find ways to decrease their
incidence.
Catheter Associated Urinary Tract Infection Rates 2009 - 2014
G
O
L
In 2009, BID-M’s Infection Prevention surveillance process identified an increase
in the number of urinary tract infections acquired during inpatient
hospitalization and associated with the use of urinary catheters.
Aim/Goal
Eliminate the incidence of Catheter Associated Urinary Tract Infection (HAI
attributable) by implementing evidence-based criteria for catheter use and
implementing processes to reduce device days and faciliate prompt removal
once indicated.
The Team
Lessons Learned
Nursing
Medical Staff
Clinical Education
Infection Prevention
The Interventions (Select Actions Taken)
Implementation and adherence to IHI endorsed CAUTI practice bundle
Purchase and utilization of a bladder scanner device as a means to determine
the need for catheterization prior to insertion
Extensive education and competency development for involved clinicians
Daily renewal of all inpatient catheter orders, including justification for
continuation of use
Post-operative urinary catheter order set as a means to ensure prompt postoperative removal (CMS SCIP Measure #9). Hospital has maintained 100%
compliance with this measure for > 2 years.
Outcome validates the efficacy and benefit of implementing evidence-based
practices
Used as a sentinel success to support the implementation of and buy-in from
clinicians in regards to other evidence-based practice guidelines
Focusing on this important safety measure positively impacted other externally
reported metrics i.e., CMS/JC measures, Hospital Acquired Conditions (HACs)
Reduction of non-reimbursable costs associated with Hospital Associated CAUTI’s
Next Steps/What Should Happen Next
FY 2014 Goal for Infection Prevention and the Hospital’s Antibiotic Stewardship
Committee:
o Eliminate the non-evidence based use of antibiotics for patients presenting with
asymptomatic bacteruria (ASB) as a means to mitigate/reduce antibiotic
resistance
Explore the development and implementation of nurse-driven protocols associated
with urinary catheter utilization
For More Information Please Contact: Alex Campbell, MSN, RN, NE-BC, CPHQ, Director HCQ & PS
alex_campbell@miltonhospital.org
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Alex Campbell (<a href="mailto:alex_campbell@miltonhospital.org">alex_campbell@miltonhospital.org</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Nursing
Medicine
Infection Prevention
Healthcare Quality
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BID-Milton
Project Team
Nursing
Medical Staff
Clinical Education
Infection Prevention
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
CAUTI Sustaining the Reduction and Elimination of Preventable Patient Harm
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Format
The file format, physical medium, or dimensions of the resource
pdf
Compliance
Effectiveness
Safety