Effect of a Multimodal Educational Intervention on Use of Urinary Catheters in Hospitalized Individuals

Abstract

A relatively simple multimodal educational intervention targeting nurses and physicians resulted in a significant and sustained reduction in CDPP and the proportion of participants catheterized.

Delivering improved patient and system outcomes for hospitalized older adults through an Acute Care for Elders Strategy

“…Although there is a need for further reforms in the delivery of primary, community-based and long-term care, older adults will still require hospitalization even under the best of circumstances. Over the past 2 decades, research has improved our understanding of risk factors for adverse outcomes and how the effective implementation of specific models and point-of-care interventions in single care locations of a hospital such as the Emergency Department (ED), 5,6 inpatient, [7][8][9][10][11] transitional, 12,13 outpatient, 14 home and community care [15][16][17] settings can improve overall outcomes and reduce lengths of stay, admissions, readmissions, adverse outcomes, and inappropriate resource use.…”

Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

“…The study by reported CAUTI reduction was more modest (7.86 to 4.95 per 1000 UC-days). Significant reduction of median UC duration was reported in seven studies with the shortest UC duration being 1.4 days (Wald & Kramer, 2011) and the longest 6.5 days (Norman et al, 2017).…”

“…Of the 12 included studies, nine studies were from developed countries, including six from the United States (Andreessen, Wilde, & Herendeen, 2012;Clarke et al, 2013;Davies et al, 2018;Theobald, Resnick, Spain, Dittus, & Roumie, 2017;Wald & Kramer, 2011), two from Switzerland (Sax et al, 2016;Ste´phan et al, 2006) and one from Canada (Norman, Ramsden, Ginty, & Sinha, 2017). The remaining three studies (6 articles) were conducted in developing countries, including Turkey , Lebanon , Philippines , Brazil (Andrioli, Furtado, & Medeiros, 2016), Kenya (Tillekeratne et al, 2014), and a multi-national study conducted in 15 developing countries .…”

“…The number of interventions used in each study ranged from 2-15, with daily assessment of UC need being the most common intervention (see Table 1). Evidence-based clinical practice guidelines published by the Healthcare Infection Control Practices Advisory Committee (HICPAC) of USA (Clarke et al, 2013), the Society for Healthcare Epidemiology of America (SHEA) , the Infectious Disease Society of America (IDSA) and Centres for Disease Control and Prevention (CDC) of USA (Andreessen et al, 2012;Norman et al, 2017;Theobald et al, 2017) were commonly used to inform the development of study interventions (Andreessen et al, 2012;Clarke et al, 2013;. Another six studies used interventions that were based on expert opinions and local protocols which were found to be effective in CAUTI prevention (Andrioli et al, 2016;Davies et al, 2018;Sax et al, 2016;Ste´phan et al, 2006;Tillekeratne et al, 2014;Wald & Kramer, 2011).…”

“…UC reminder or stop orders were used as a strategy in four studies, of which written reminder was applied in two studies (Theobald et al, 2017;Tillekeratne et al, 2014) and computer-based reminder or stop orders in three studies (Andreessen et al, 2012Norman et al, 2017Theobald et al, 2017).…”