Urinary catheter alleviation navigator protocol (UCANP): Update to the hospital-wide implementation at a single tertiary health care center - 18/10/24
, Mallory E. McCormick, DO b, Nicholas McLenon, BS c, Eman Chami, MHA, CIC d, Edward Pollak, MD a, Ali A. Dabaja, MD bRésumé |
Background |
Catheter-associated urinary tract infections are commonly reported health care-associated infections. It was demonstrated that the urinary catheter alleviation navigator protocol (UCANP) pilot resulted in a reduction of catheter utilization and catheter days.
Methods |
Quality improvement initiative that was implemented at a single urban, tertiary health care center, focusing on early discontinuation of indwelling urinary catheters (IUCs) and avoidance of reinsertion. The protocol was expanded hospital-wide from September 2020 to April 2022. We compared IUC utilization, IUC standardized utilization ratio (SUR), and catheter-associated urinary tract infection standardized infection ratio in the preintervention period (March 2020 to August 2020) to the postintervention period (May 2022 to October 2022).
Results |
Preimplementation, 2 patients with IUC removal were placed on UCANP. Postimplementation, 835 (45%) patients with IUC removal participated in the protocol. The number of patients requiring IUC reinsertion did not differ among the 2 groups. IUC utilization was significantly decreased from 0.28 to 0.24 with a 14% reduction (P = .025). SUR decreased by 11% from 0.778 to 0.693 (P = .007) and standardized infection ratio by 84% from 0.311 to 0.049 (P = .009).
Conclusions |
Our protocol significantly reduced IUC utilization and SUR after hospital-wide implementation. UCANP is a safe and effective strategy that can potentially decrease unnecessary IUCs in patients with transient urinary retention.
Le texte complet de cet article est disponible en PDF.Highlights |
• | UCANP significantly reduced IUC utilization after hospital-wide implementation. |
• | CAUTI rate was decreased when combining UCANP with other interventions. |
• | UCANP is a safe and effective approach to managing transient urinary retention. |
Key Words : CAUTI, Indwelling urinary catheter, Recatheterization, Urinary retention
Plan
| Conflicts of interest: None to report. |
Vol 52 - N° 11
P. 1269-1272 - novembre 2024 Retour au numéro
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