Inpatient Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University School of Nursing, 461 21st Avenue South, 216 Godchaux Hall, Nashville, TN 37240, USA.
Nurs Clin North Am. 2019 Mar;54(1):81-96. doi: 10.1016/j.cnur.2018.11.001. Epub 2018 Dec 17.
The cardiovascular thoracic step-down unit of an urban academic medical center had 4 catheter-associated urinary tract infections (CAUTIs) in 2 months compared with 5 in the previous year. The nursing literature showed that the implementation of nurse-driven algorithms for early removal of indwelling urinary catheters (IUCs) decreased the catheter days and risk of CAUTIs. Using the Model for Improvement, the nurse leader performed daily IUC rounds to enforce the removal algorithm and visual management tools to identify IUC removal barriers. The quality improvement project resulted in fewer catheter days, the implementation of evidence-based practice, and no new CAUTIs.
城市学术医疗中心的心血管胸科下病房在 2 个月内发生了 4 例与导尿管相关的尿路感染（CAUTI），而前一年则为 5 例。护理文献表明，实施护士驱动的算法以尽早拔除留置导尿管（IUC）可减少导管天数和 CAUTI 的风险。该护士领导使用改进模型进行每日 IUC 查房，以执行移除算法，并使用可视化管理工具来识别 IUC 移除障碍。质量改进项目导致导管天数减少，实施了基于证据的实践，且没有新的 CAUTI 发生。
