Reducing CAUTI incidence: A multimodal and multidisciplinary approach for improved prevention and patient outcomes - 27/03/26
, Arlene Ramsaran, PhD, MBA, BSN, RN, CPHQ, Stephanie Blankenship, BSN, RN, CIC, Andrew Hawrylak, MD, SFHMRésumé |
Background |
Catheter-associated urinary tract infections (CAUTIs) are common health care-associated infections and a key quality metric tied to patient safety. Although the standardized utilization ratio (SUR) declined, CAUTI rates remained above the target benchmark at a large academic trauma facility, prompting a multidisciplinary quality improvement initiative.
Methods |
A multidisciplinary team implemented a multimodal approach targeting indwelling urinary catheter practices. Interventions included standardized urine culture protocols, education on dependent loop prevention, 2 person insertion procedures, and monitoring indwelling urinary catheter order compliance. Data on 6 key metrics were tracked facility-wide from 2023 to 2025.
Results |
Urine culture card compliance improved from 15.4% to 100%. Indwelling urinary catheter order compliance rose from 50% to 85%, and 2 person insertion documentation reached 93%. The SUR dropped from 0.903 (2021) to 0.68 (2024), while CAUTI SIR decreased from 0.564 (2021) to 0.284 (2024). Current 2025 YTD SIR is 0.168.
Discussion |
Standardizing catheter care by implementing evidence-based interventions resulted in preventing CAUTI. To maintain these positive outcomes, leadership support, collaboration across disciplines, and ongoing education were crucial.
Conclusions |
A system-wide, multimodal CAUTI prevention strategy significantly reduced catheter use and infection rates. Continued focus on education and compliance tracking is essential to achieve and sustain zero harm.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Collaboration of a multidisciplinary team led to the success of the quality improvement project. |
• | Education helped teams understand their role in preventing CAUTIs. |
• | Bundled care improved compliance with indwelling Foley catheter management. |
Key Words : Catheter-associated urinary tract infections (CAUTIs), Nursing quality improvement, Evidence-based nursing practice, Patient safety, Multidisciplinary collaboration, Urine culture stewardship
Plan
| Conflicts of interest: None to report. |
Vol 54 - N° 4
P. 389-395 - avril 2026 Retour au numéro
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