Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Preventing Catheter-Associated Urinary Tract Infection

A Multipronged Collaborative Approach

Mundle, William RN, MN, CMSN(C); Howell-Belle, Carnett RN, MN; Jeffs, Lianne PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000418
Original Article: PDF Only

Background: Research has shown that catheter-associated urinary tract infections (CAUTIs) are highly preventable and have significant impact on patient morbidity and mortality as well as financial consequences for the health care system.

Local: CAUTI rates were documented to be higher in the general internal medicine units when compared with the overall hospital rates.

Methods: A comparative analysis was undertaken.

Intervention: An interprofessional working group developed and implemented a quality improvement initiative bundled approach to reducing CAUTIs.

Results: There was a 79% reduction in average CAUTI rates following the bundle implementation along with reduced variability in rates.

Conclusions: Implementation of a standardized bundle of practices aimed at reducing CAUTIs resulted in decreased CAUTI rates. Organizations can use the design and implementation approach to reduce and minimize CAUTI rates, which can positively impact cost, care experience, and outcomes.

Surgical Services and Urgent & Critical Care, Sinai Health System, Toronto, Ontario, Canada (Mr Mundle); Markham Stouffville Hospital, Markham, Ontario, Canada (Ms Howell-Belle); and Nursing and Health Disciplines, Sinai Health System, and Lunenfeld-Tanenbaum Research Institute, Toronto, Ontario, Canada (Dr Jeffs).

Correspondence: William Mundle, RN, MN, CMSN(C), Manager, Quality and Performance, Surgical Services and Urgent & Critical Care, Sinai Health System, Toronto, ON M5B 1W8, Canada (

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: May 1, 2019

Published ahead of print: June 18, 2019

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved