Patient Safety Topics
:
CAUTI
Overview

Despite evidence that catheter-associated urinary tract infections (CAUTIs) and accompanying adverse outcomes can often be prevented, these infections remain among the most predominant healthcare-acquired infections in the United States. Many organizations have adopted the practices advocated in evidence-based guidelines but still struggle with implementation and lack methods for efficient and reliable performance of prevention practices.

 

Key Data and Statistics

​Between 12% and 25% of all hospitalized patients are catheterized during their hospital stay, and as many as 80% of all hospital-acquired urinary tract infections can be attributed to indwelling urinary catheters. Use of an indwelling urethral catheter is an invasive intervention that carries a significant risk for patient harm leading to prolonged length of stay, secondary bacteremia, sepsis, and increased mortality.

The Authority polled attendees of a past webinar about the most significant barriers to implementation of CAUTI prevention practices (see Figure). Poll results indicate that the predominant barriers among the attendees are lack of accountability by members of the healthcare team for appropriate and safe practice and active resistance to prevention strategy implementation from staff and/or physicians.

 

Figure. Barriers to Prevention Practices (N = 48)

 

Excerpted from: Barriers to urinary catheter insertion and management practices. 2009 Sep [cited 2017 Jun 19]. http://patientsafety.pa.gov/ADVISORIES/Pages/200909_98.aspx.
Educational Tools

Hospital Tools

Foley Insertion Checklist

Facilities can use this checklist at the bedside for every Foley catheter insertion to ensure aseptic technique, as well as monitor process measures.

Foley Catheter Removal Protocol (algorithm)
Facilities can use this algorithm to drive the Foley catheter removal process.

Nurse-Driven Foley Removal Protocol
Facilities can use this nurse-driven protocol to address detailed interventions for Foley catheter removal.

Female Foley Performance Checklist
Facilities can use this checklist to check individual or annual assessment of competency for female catheterization.

Male Foley Performance Checklist
Facilities can use this checklist to check individual or annual assessment of competency for male catheterization.

Foley Tracking Sheet
Facilities can use this sheet to track Foley catheter insertion criteria and care.

Foley Utilization Notice
Facilities can use this notice as physician reminder in the medical document to verify criteria for Foley catheter use.

Hand Hygiene Labels
Facilities can place these labels on every drainage bag to prompt hand hygiene and document Foley catheter insertion information.

Preventing Urinary Tract Infections Tip Sheet
Facilities can use this tip sheet as an educational handout about prevention of urinary tract infections.

Nursing Home Tools 

Indwelling Urinary Catheter Resident Care Plan
Facilities can use this form to develop a resident-specific plan of care for residents with indwelling urinary catheters without infection.

Indwelling Urinary Catheter Resident Care Plan (UTI)
Facilities can use this form to develop a resident-specific plan of care for residents with indwelling catheter-associated urinary tract infection.

Indwelling Urinary Catheter Care: Quality Improvement Audit
Facilities can use this form to perform monthly quality improvement audits of residents with indwelling urinary catheters.

Indwelling Urinary Catheter Care
Facilities can use this handout for education and monitoring of nursing staff and assistants.

Multimedia

 


Advisory Articles

 

Safety Tips for Patients

 

 

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