QI CAUTI Scenario
Catheter-acquired urinary tract infections (CAUTI) are one of the most prevalent hospital-acquired infections adding to morbidity and mortality among patients. The most common causes of CAUTI include extended period of catheter use and poor catheter care (Rubi et al., 2022). To address this issue, a QI initiative was developed and implemented by a team of nurses and doctors using the Plan-Do-Study-Act (PDSA) cycle. The main goal was to reduce CAUTI rates in the ICU by 25% within six months, with the ultimate goal being to eliminate CAUTI altogether.
Plan Phase
The team collaborated on coming up with a plan consisting of guidelines for when catheter insertion is necessary, options for condom catheters and PureWick devices; and maintenancedaily review of whether there is still need for the catheter; hand hygiene; proper positioning (below the bladder level, off the floor), regular evacuation, and aseptic techniques for sampling at the port). These guidelines were based on best practices (Lim, 2023).
Do Phase
The approved protocols and care bundles were implemented, and all ICU staff members took part in training on the new procedures. Training helped with making sure everyone knew and understood...
Conclusion
The first PDSA cycle saw progress in reducing CAUTI rates in the ICU, but the ultimate goal of zero CAUTI was not reached and still requires some ongoing effort. New recommendations for strengthening the intervention should help to improve the next cycles outcomes. As always, evaluation will be needed with further refinement in…
References
Lim, F. (2023). UTI revisited: Optimizing best practices: Nurses' role in prevention andmanagement. American Nurse Journal, 18(12), 6-11.
Parker, V., Giles, M., King, J., & Bantawa, K. (2020). Barriers and facilitators to implementationof a multifaceted nurse?led intervention in acute care hospitals aimed at reducing indwelling urinary catheter use: A qualitative study. Journal of clinical nursing, 29(15-16), 3042-3053.
Rubi, H., Mudey, G., & Kunjalwar, R. (2022). Catheter-associated urinary tract infection(CAUTI). Cureus, 14(10).
Catheter-Associated Urinary Tract Infection (CAUTI) Decreasing the health care-associated urinary tract infection (UTI) is a goal that most hospitals and doctors are trying to do. The purpose of this project was to create a gathering count starting point to forecast clinically major UTIs that develop in hospitalized patients that are women. There were a lot of cases looked into but 20 women were chosen for this investigation. These women were interviewed
CR-BSIs Preventing Catheter-Related Bloodstream Infections Hadaway (2006) sought to provide practice guidance to nurses for catheter-related bloodstream infections (CR-BSI). The points of emphasis included short peripheral catheters, but the main focus was infections associated with central venous catheters (CVC) because these occur more often and result in more severe adverse outcomes. To support these practice recommendations, Hadaway relied on CVC best practice guidelines published by the Institute for Healthcare Improvement (IHI). The
As contributive to further research, researchers may be interested in singling out the various CR-BSI-reductive variables used in the multi-faceted programs and seeing the effect of CHG in contrast to the others. Note too, that a teaching / training program was the constituent of the two multi-faceted programs, whilst the study of the independent training program, in reality, also incorporated the other 2 programs in that participants were induced
Catheter-Related Infections Central Catheter-related ICU Infections Central Catheter-Related Infections in ICUs Reducing Central Catheter-Related ICU Infections in Michigan Reducing Central Catheter-Related ICU Infections in Michigan Teams of clinicians at five hospitals across Michigan reported their efforts to reduce the frequency of catheter-related bloodstream infections in intensive care units (ICUs) through the implementation of five patient safety measures: (1) hand washing, (2) full barrier precautions during insertion of central venous catheters, (3) use of chlorhexidine
CAUTI-catheter-Acquired urinary tract infections) Identify a work-setting problem. • Describe a problem or issue that needs a solution. Basic infection prevention along with antimicrobial stewardship is necessary to investigate due to the global need for interventions that will impact HAIs, including urinary tract infections. "The basics of infection prevention and control are the necessary underpinnings of programs, policies, and protocols that impact HAI" (APIC, 2008, p. 5). One aspect that specifically needs
This is important because the cost of hospital acquired infections run high. The cost to care for a patient with a hospital acquired infection is almost three times the amount to care for a patient without a hospital acquired infection (Hassan et al., 2010). Since hospital acquired infections can be attributed to the hospital, Medicare and Medicaid will no longer cover payment of these infections beginning in 2008. Medicare and
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