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Reducing catheter days on an acute care inpatient unit
Thesis   Open access

Reducing catheter days on an acute care inpatient unit

Constantina Afionis
Master of Science (M.S.), Drexel University
25 Jul 2023
DOI:
https://doi.org/10.17918/00001977
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Afionis_Constantina_2023459.14 kBDownloadView

Abstract

Catheter associated urinary tract infections Infections Catheter days
Hospital acquired infections can change a patient's course of treatment and hospital stay. Quality improvement measures and procedures are being implemented to help healthcare professionals provide the best care to patients and make their time in the hospital as safe as possible. Following a microsystem assessment to assess the needs of a trauma medical surgical unit, the number of urinary catheter days was found to be an issue. A nurse driven Foley huddle was implemented into daily interdisciplinary rounds to create the discussion around the patient's indwelling urinary catheter and create a plan for removal as soon as appropriate for the patient. Two phases were implemented, one to implement the Foley huddle, and one to see how the huddle was maintained. Many of the patients met the goal of the quality improvement project of only having the catheter for one to three days after insertion. Overall, there was a 1.5 percent decrease in indwelling urinary catheter days when comparing quarter 1 of 2023 to quarter one of 2022. Not only have the catheter days decreased, but the microsystem has created cost- savings for both the unit and the hospital system. Plans for sustainability and implementation of the daily Foley huddle after the project has concluded are included in the discussion. Keywords: CAUTI, infections, catheter days

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