Plando Rhez, Obaid Lina, Al Baker Ahmad S, Khan Omar, Solatorio Mariano, De Leon Bryan J, Tabasin Vincent M, Obsioma Ruby A
Department of Nursing, Sultan Bin Abdulaziz Humanitarian City, Riyadh, SAU.
Department of Infection Control, Sultan Bin Abdulaziz Humanitarian City, Riyadh, SAU.
Cureus. 2024 Oct 22;16(10):e72105. doi: 10.7759/cureus.72105. eCollection 2024 Oct.
This patient safety and quality improvement report outlines the successful reduction of catheter-associated urinary tract infections (CAUTI) through a comprehensive interdisciplinary team approach. It emphasizes the implementation of best practices and the involvement of both patients and their families in catheter care. The project was conducted at Sultan Bin Abdulaziz Humanitarian City, the largest rehabilitation facility in the Middle East, with 511 beds and over 20 inpatient units.
The primary objective of this project was to assess gaps in current CAUTI prevention practices and implement effective strategies to reduce infection rates. By adopting quality improvement methodologies from the Institute of Healthcare Improvement (IHI) and the Deming Four-Stage Cycle, the aim was to prevent CAUTIs and improve patient safety and clinical outcomes.
Urinary catheters, commonly used for patients with neurogenic bladder dysfunction and sacral deep pressure injuries, posed a high risk of infection, with a daily infection risk of 3-7%. Despite available preventive measures, the facility experienced a high average CAUTI rate of 1.28/1000 catheter days from 2021 to mid-2023. This project involved the systematic identification of gaps, the adoption of evidence-based practices, and the engagement of healthcare staff, patients, and families in rigorous CAUTI prevention efforts.
The project resulted in a significant reduction in the CAUTI rate, decreasing from 1.28 infections per 1000 catheter days pre-intervention to 0.42 infections per 1000 catheter days post-intervention. This improvement highlights the effectiveness of collaborative efforts and evidence-based interventions in controlling and preventing CAUTIs.
The findings of this project demonstrate that CAUTI prevention is achievable through a coordinated approach involving healthcare providers, strong evidence-based interventions, and the active participation of patients and families. This collaborative model led to better patient safety outcomes and significantly reduced CAUTI rates, showing the importance of comprehensive care strategies in mitigating preventable patient harm.
本患者安全与质量改进报告概述了通过全面的跨学科团队方法成功降低导管相关尿路感染（CAUTI）的情况。它强调了最佳实践的实施以及患者及其家属参与导管护理。该项目在中东最大的康复设施苏丹·本·阿卜杜勒阿齐兹人道主义城开展，该设施有511张床位和20多个住院单元。
本项目的主要目标是评估当前CAUTI预防实践中的差距，并实施有效策略以降低感染率。通过采用医疗保健改进研究所（IHI）的质量改进方法和戴明四阶段循环，目标是预防CAUTI并改善患者安全和临床结果。
导尿管常用于神经源性膀胱功能障碍和骶部深度压伤患者，感染风险很高，每日感染风险为3 - 7%。尽管有可用的预防措施，但该设施在2021年至2023年年中期间的平均CAUTI率较高，为1.28/1000导管日。该项目涉及系统地识别差距、采用循证实践以及让医护人员、患者和家属参与严格的CAUTI预防工作。
该项目使CAUTI率显著降低，从干预前的每1000导管日1.28例感染降至干预后的每1000导管日0.42例感染。这一改善突出了协作努力和循证干预在控制和预防CAUTI方面的有效性。
本项目的结果表明，通过医疗服务提供者的协调方法、强有力的循证干预以及患者和家属的积极参与，可以实现CAUTI的预防。这种协作模式带来了更好的患者安全结果，并显著降低了CAUTI率，显示了综合护理策略在减轻可预防的患者伤害方面的重要性。
