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Saving lives and reducing harm: a CAUTI reduction program
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Journal Article
Saving lives and reducing harm: a CAUTI reduction program
2017
Overview
Executive Summary * The purpose of this quality improvement project was to develop a catheter-associated urinary tract infection (CAUTI) reduction program focusing on developing best practices and transferring them across the healthcare organization. * Quantitative measures and formative evaluation processes used to determine success of the program were by measures of standardized infection ratio, incidence, and catheter days for both North Shore University Hospital and Northwell Health in both the intensive care unit (ICU) and non-ICU areas. * Processes such as CAUTI root cause analysis, CAUTI rounds, CAUTI ambassadors, and development of novel ideas contributed to the program's success. * Development and autonomy of frontline staff contributed to improvement in safe quality care to patients. Beginning 2015, the Centers for Medicare & Medicaid Services (CMS) altered the guidelines and reporting structures around hospital-acquired conditions (HACs) (CMS, 2016). [...]to move away from volume of care to value of care, CMS, under Section 3008 of the Affordable Care Act, mandated that hospitals reduce HACs not present on admission (CMS, 2016). The Centers for Disease Control and Prevention (CDC) and the National Healthcare Safety Network (NHSN) (2013) estimate there were more than 93,300 urinary tract infections (UTIs) in acute care hospitals in 2011, accounting for 12% of acute care infections. According to North Shore University Hospital (NSUH) performance and financial data, the average cost for a patient with a CAUTI is estimated at $1,642 per case. [...]in 2013, a CAUTI reduction program was launched which focused on developing best practices transferable across Northwell...
Publisher
Jannetti Publications, Inc,Anthony J. Jannetti, Inc
Subject
