Efficacy of an educational program for medical staff in preventing incidents related to Foley catheter insertion and maintenance: A single‐institution retrospective study

Komiya, Akira; Kitamura, Hiroshi; Wakasugi, Masahiro; Okudera, Hiroshi

doi:10.1111/iju.14528

Cited by 2 publications

(3 citation statements)

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“…15 Conversely, more recent study by Komiya et al showed no improvements in symptomatic UC trauma following UC educational programming. 14…”

Section: Discussionmentioning

confidence: 99%

“…15 Conversely, more recent study by Komiya et al showed no improvements in symptomatic UC trauma following UC educational programming. 14 Separately, various nursing protocols and algorithms have also been proposed. For example, a recent study suggested a "1 gentle attempt only" rule for junior health care professionals after analyzing a cohort of UC injuries in which there were 3.2 attempts on average before urological consultation.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10][11] Substantial outpatient management costs can also be incurred in addressing follow-up of long-term complications. 7,12,13 Limited efforts to minimize UC trauma have been reported with mixed results, 6,[14][15][16][17][18] and thus comprehensive research is needed to better understand the characteristics of such injuries. Knowledge gaps include the patient population characteristics that might be used to better identify an at-risk population suitable for earlier urologic intervention as well as the circumstances contributing to iatrogenic UC injury.…”

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confidence: 99%

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Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

Lawton,

Ortiz,

Henry

et al. 2024

Urology Practice

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Introduction:Iatrogenic injury during urethral catheterization is a common reason for inpatient urologic consultation and is associated with increased morbidity and resource utilization. Literature defining the patient population, interventions, or outcomes associated with traumatic catheterization is scarce.Methods:We performed a retrospective review of consults for adult urethral catheterization at a single tertiary care center (July 2017-December 2019), with focus on patient characteristics and complications. Traumatic urethral catheterization was defined as catheterization by the primary team with at least 1 of these conditions: gross hematuria, meatal blood, or cystoscopic evidence of urethral trauma. Characteristics collected included urologic history, catheterization circumstances, procedural intervention, and subsequent visits.Results:Three hundred urology consults for urethral catheterization were identified, including 98 (33%) traumatic events (5.3 incidents/1000 catheters placed). All traumatic catheterization consults were in men (median age 69 years). Most (71%) patients sustaining injury had significant urologic history (eg, benign prostatic hyperplasia, urethral stricture). Sixty-three (64%) consults were determined to be uncomplicated (not requiring any procedural intervention for catheter placement). Gross hematuria was the most common sequela (50% of patients). The 30-day catheter-associated urinary tract infection rate was 13%, and 2 patients developed sepsis. Complications required a total of 52 additional hospital admission days, 19 of which were intensive-care level, as well 113 outpatient urology visits.Conclusions:Traumatic urethral catheterization is associated with increased need for procedural intervention, risk of catheter-associated urinary tract infection, and additional resource utilization. Further studies on traumatic catheterization are needed to guide systemic efforts for minimizing injury and cost.

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“…15 Conversely, more recent study by Komiya et al showed no improvements in symptomatic UC trauma following UC educational programming. 14…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

Lawton,

Ortiz,

Henry

et al. 2024

Urology Practice

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Acil Serviste İdrar Sondası Takılma Nedenlerinin Analizi

DİYAR,

ÇAKMAK,

AKDENİZ

et al. 2023

Phoenix Medical Journal

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Amaç: Acil serviste hastalara uygulanan idrar sondası işleminin nedenleri analiz edildi. Bu şekilde uygunsuz endikasyonla takılan idrar sondalarının ve sondaya bağlı komplikasyonların oranlarını göstererek bu tıbbi uygulamanın gözden geçirilmesi hedeflendi. Gereç ve Yöntem: Bu çalışma 01/05/2022-01/11/2022 tarihleri arasında yetişkin acil serviste idrar sondası takılan hastaların dosyaları ve hastane sistemindeki bilgileri incelenerek retrospektif olarak gerçekleştrildi. Hastaların yaşı, cinsiyeti, kullandığı ilaçlar, bilinen hastalıklar, geçirilmiş operasyon öyküsü, idrar sondası takılma nedenleri, komplikasyonlar ile ilişkili olabilecek laboratuvar verileri, gelişen komplikasyonlar, acil servisten çıkış durumları kayıt edilerek analiz edildi. Bulgular: Olguların yaş ortalaması 65,04±19,85 yıl, ortanca yaş 68 olarak tespit edildi. Hipertansiyon %,50,3 (n=264) ile en sık görülen ek hastalıktı. Günlük aldığı çıkardığı takibi ile tanı ve tedavi amaçlı günlük diürez ölçümü %38,3 (n=201) ile en sık sonda takılma nedeni idi. Uygunsuz endikasyonla takılan sonda oranı %14,7 olarak bulundu. Olgular incelendiğinde tespit edilen komplikasyon gelişimi %8,6 olarak tespit edilmiştir. %5,3’ünde bakteriüri geliştiği görülmüştür. Hematürinin %2,7 ve üretral yaralanmanın %0,6 olguda yaşandığı izlendi Sonuç: Bu veriler sonda takma nedenlerini acil servise yönelik özelleşmesine ve analizine yardımcı olmuştur. Acil servis için daha gerçekçi bir veri oluşturmuş, acilde uygunsuz endikasyonla sonda takılmasının ve komplikasyonlarının belirlenmesini sağlamıştır. Bu istenmeyen durumlara karşı azaltıcı yönde acil hekimlerine ve sağlık personeline katkı sağlayacaktır.

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Efficacy of an educational program for medical staff in preventing incidents related to Foley catheter insertion and maintenance: A single‐institution retrospective study

Abstract: To analyze incidents related to Foley catheter insertion and maintenance, and to compare the rate of incidents before and after a medical staff education program. Methods: Data regarding Foley catheter insertion incidents and maintenance were collected at

Cited by 2 publications

References 14 publications

Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

Characterization and Outcomes of Iatrogenic Urethral Catheterization Injuries

Acil Serviste İdrar Sondası Takılma Nedenlerinin Analizi

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