1 in 2 Catheter-Linked UTIs Avoidable, Study Says
The researchers suggest that systems that seem to work elsewhere involve programs that impose an automatic reminder either on the electronic medical record or through some other mechanism, requiring a physician, physician's assistant or registered nurse to check daily on whether the catheter is still required.
Also effective are "stop orders," in which the order for a catheter expires in the same fashion as an order for restraints in a patient with behavioral issues or antibiotics in a patient with an infection.
"Stop orders directed at physicians required an order to renew or discontinue the catheter on the basis of review at specific intervals, such as every 24 to 72 hours or on specific post-procedure days," the report said. Stop orders directed at nurses might empower nurses to remove the catheter on the basis of indications without requiring the nurse to first obtain a physician-signed order.
"Overall, decreased catheter use was reported in all 11 studies publishing at least one outcome of catheter use, with 8 studies revealing a statistically significant decrease between non-intervention groups and the first post-intervention measure."
The authors wrote that they "hope that our results will encourage more hospitals to adopt reminders or stop orders as low-cost interventions that enhance patient safety."
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- CFO Exchange: Smartphones Poised to Disrupt Healthcare, Says Topol
- Consumerism Drives Healthcare Branding, Rebranding Efforts
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- CNO on Hospital Redesign: 'You Can't Over-Communicate'
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- 3 Traits Personality Assessments Can't Reveal
- Antibiotic Overuse a 'Huge Threat' to Patient Safety, Says CDC
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- Carondelet to Pay $35M to Settle Fraud Allegations
- CHS Hacked, 4.5M Patient Records Compromised