Blodgett Tom J
University of Iowa College of Nursing, Iowa City, IA, USA.
Urol Nurs. 2009 Sep-Oct;29(5):369-78; quiz 379.
Catheter-associated urinary tract infection (CAUTI) is a common and costly problem for hospitalized patients. Policymakers have taken notice of the importance of these infections, and changes to the prospective payment rules of Medicare, Medicaid, and many additional third-party payers have been implemented to hold hospitals accountable for the delivery of poor quality health care services. As key members of the health care team, nurses must be prepared to utilize evidence-based practices to prevent CAUTI in hospitalized patients. This article describes several variable-technology interventions to remind clinicians to remove unnecessary urinary catheters and proposes potential roles for nursing informatics in the prevention of CAUTI in hospitalized adults.
导尿管相关尿路感染(CAUTI)是住院患者面临的一个常见且代价高昂的问题。政策制定者已经注意到这些感染的重要性,医疗保险、医疗补助以及许多其他第三方支付方的预期支付规则已发生变化,以促使医院为提供低质量医疗服务负责。作为医疗团队的关键成员,护士必须准备好运用循证实践来预防住院患者发生CAUTI。本文介绍了几种可变技术干预措施,以提醒临床医生拔除不必要的导尿管,并提出了护理信息学在预防住院成人CAUTI方面的潜在作用。