FEATURESA Technology Intervention for Nurses Engaged in Preventing Catheter-Associated Urinary Tract InfectionsRea, Kathleen DNP, RN, ACNS-BC, PCCN, CNL; Le-Jenkins, Uyen DNP, RN, CPNP-AC/PC; Rutledge, Carolyn PhD, RN, FNP-BCAuthor Information Author Affiliations: University of Virginia Health System, Charlottesville (Dr Rea); and School of Nursing, College of Health Sciences, Old Dominion University (Drs Le-Jenkins and Rutledge), Virginia. The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Kathleen Rea, DNP, RN, ACNS-BC, PCCN, CNL, University of Virginia Health System, Box 801442, 1215 Lee St, Charlottesville, VA 22908 ([email protected]). CIN: Computers, Informatics, Nursing: June 2018 - Volume 36 - Issue 6 - p 305-313 doi: 10.1097/CIN.0000000000000429 Buy Metrics Abstract Catheter-associated urinary tract infections account for 40% of healthcare-acquired infections. This study explored the addition of cloud-based software technology to an established nursing quality improvement program to reduce catheter-associated urinary tract infections. Unit-based nurse champions evaluated peers' evidence-based catheter-associated urinary tract infection prevention practices using manual, paper-based feedback. That process achieved reduced rates of catheter-associated urinary tract infection over 18 months. However, it was resource intensive. Cloud-based software technology was introduced to replace the paper. Nurse champions' satisfaction, catheter-associated urinary tract infection and indwelling urinary catheter utilization, and prevention practices were compared before and after the technology intervention. Compliance with the provision of a chlorhexidine bath demonstrated improvement (P = .003), while other practice measures did not significantly change. The indwelling urinary catheter utilization ratio was lower (P = .01), yet the intervention yielded no change in catheter-associated urinary tract infection rates. The short time interval of the intervention was potentially a contributing factor in no significant rate change. Nurse champions (N = 14) were more satisfied with the cloud-based technology (P = .004), the clarity of improvement targets (P = .004), and the speed of sharing data (P = .001). Their time to share data decreased from 4 days or more to 1 hour or less. Nurse champions readily adopted the cloud-based technology. These findings suggest additional research on technology innovations for nursing quality improvement is needed. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.