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.
CAUTI rates were documented to be higher in the general internal medicine units when compared with the overall hospital rates.
A comparative analysis was undertaken.
An interprofessional working group developed and implemented a quality improvement initiative bundled approach to reducing CAUTIs.
There was a 79% reduction in average CAUTI rates following the bundle implementation along with reduced variability in rates.
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 (firstname.lastname@example.org)
The authors declare no conflicts of interest.
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Accepted for publication: May 1, 2019
Published ahead of print: June 18, 2019