This article describes a quality improvement project to decrease catheter-associated urinary tract infections (CAUTIs) at an academic medical center. A criteria-based, nurse-driven protocol for discontinuation of indwelling catheters and use of bladder ultrasonography in conjunction with intermittent catheterizations was the foundation for change. The CAUTI rate, the number of CAUTIs, cost of medications and supplies associated with treating CAUTIs, catheter duration, and intensive care unit length of stay decreased after protocol implementation.
Nursing and Patient Services, University of Florida (UF) Health Shands Hospital, Gainesville (Dr Alexaitis); and Community/Mental Health, Department of Nursing, University of South Alabama, Mobile (Dr Broome).
Correspondence: Irene Alexaitis, DNP, RN, NEA-BC, Nursing and Patient Services, UF Health Shands Hospital, PO Box 100335, Gainesville, FL 32610 (firstname.lastname@example.org).
Dr Alexaitis received funding to purchase equipment for the project from UF Health Shands Hospital and is employed by UF Health Shands Hospital. For the other author, none are declared.
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The authors declare no conflict of interest.
Accepted for publication: November 24, 2013
Published ahead of print: January 2, 2014