Author Affiliations: Medical-Surgical Clinical Nurse Specialist (Dr Garcia), Madigan Army Medical Center, Joint Base Lewis-McChord, Washington; Professor (Dr Makic), College of Nursing, University of Colorado Anschutz Medical Campus, Aurora; and Professional Development Specialist and Nurse Residency Program Coordinator (Dr Casey), Denver Health and Hospital Authority, Colorado.
Clin Nurse Spec. 2023;37(3):117-123. doi: 10.1097/NUR.0000000000000741.
PURPOSE/OBJECTIVES: The acute care division of a tertiary medical center experienced a 167% increase in catheter-associated urinary tract infections, with 2 inpatient surgical units accounting for 67% of infections. A quality improvement project was implemented to address the infection rates on the 2 inpatient surgical units. The aim was to reduce catheter-associated urinary tract infection rates by 75% in the acute care inpatient surgical units.
DESCRIPTION OF THE PROJECT/PROGRAM: A survey identified educational needs of staff, with response data informing the development of a quick response code containing resources for prevention of catheter-associated urinary tract infections. Champions rounded on patients and audited maintenance bundle adherence. Educational handouts were disseminated to increase compliance with bundle interventions. Outcome and process measures were tracked on a monthly basis.
Infection rates decreased from 1.29 to 0.64 per 1000 indwelling urinary catheter days, catheter utilization increased 14%, and maintenance bundle compliance was 67%.
The project enhanced quality care through the standardization of preventive practices and education. The data reflect a positive effect on catheter-associated urinary tract infection rates from increased awareness of the nurse's role in the prevention process.
目的/目标：一家三级医疗中心的急症护理部门经历了 167%的导管相关尿路感染增加，其中 2 个住院外科病房占感染的 67%。实施了一项质量改进项目来解决这 2 个住院外科病房的感染率问题。目标是将急症住院外科病房的导管相关尿路感染率降低 75%。
项目/计划描述：一项调查确定了员工的教育需求，响应数据为预防导管相关尿路感染的快速反应码提供了资源。倡导者对患者进行查房并审核维持性捆绑包的遵守情况。分发教育传单以提高捆绑干预措施的依从性。每月跟踪结果和过程指标。
感染率从每 1000 个留置导尿日的 1.29 降至 0.64，导管使用率增加了 14%，维持性捆绑包的依从率为 67%。
该项目通过标准化预防措施和教育提高了护理质量。数据反映了护士在预防过程中的作用的提高对导管相关尿路感染率的积极影响。
