Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative

Reynolds, Staci S.; Sova, Chris; Lewis, Sarah S.; Smith, Becky; Wrenn, Rebekah; Turner, Nicholas; Advani, Sonali D

doi:10.1017/ice.2021.135

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…140–146 Involve local champions to promote the program. 137,139,145,147,148 Utilize peer networking. 66,144,148,149 Involve patient and family. …”

Section: Section 6: Implementation Strategiesmentioning

confidence: 99%

“…Inappropriate uses of catheters remained low during follow-up and did not appear to be affected by the intervention. 136 Similarly, Reynolds et al 137 described a multifaceted CAUTI prevention initiative led by physician and nurse champions in ICUs at Duke University Hospital. The investigators observed a sustained reduction in rates of urine-culture utilization, catheter utilization, and CAUTI over 4 years.…”

Section: Section 6: Implementation Strategiesmentioning

confidence: 99%

See 1 more Smart Citation

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Patel,

Advani,

Kofman

et al. 2023

Infect. Control Hosp. Epidemiol.

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and purposeThe intent of this document is to highlight practical recommendations in a concise format designed to assist physicians, nurses, and infection preventionists at acute-care hospitals in implementing and prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. This document updates the Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute-Care Hospitals published in 2014. It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission.

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“…140–146 Involve local champions to promote the program. 137,139,145,147,148 Utilize peer networking. 66,144,148,149 Involve patient and family. …”

Section: Section 6: Implementation Strategiesmentioning

confidence: 99%

Section: Section 6: Implementation Strategiesmentioning

confidence: 99%

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Patel,

Advani,

Kofman

et al. 2023

Infect. Control Hosp. Epidemiol.

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View full text Add to dashboard Cite

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Quality Improvement Interventions and Implementation Strategies for Urine Culture Stewardship in the Acute Care Setting: Advances and Challenges

Advani

Vaughn

2021

Curr Infect Dis Rep

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Purpose ofReview-The goal of this article is to highlight how and why urinalyses and urine cultures are misused, review quality improvement interventions to optimize urine culture utilization, and highlight how to implement successful, sustainable interventions to improve urine culture practices in the acute care setting. Recent Findings-Quality improvement initiatives aimed at reducing inappropriate treatment of asymptomatic bacteriuria often focus on optimizing urine test utilization (i.e., urine culture stewardship). Urine culture stewardship interventions in acute care hospitals span the spectrum of quality improvement initiatives, ranging from strong systems-based interventions like suppression of urine culture results to weaker interventions that focus on clinician education alone. While most urine culture stewardship interventions have met with some success, overall results are mixed, and implementation strategies to improve sustainability are not well understood.Summary-Successful diagnostic stewardship interventions are based on an assessment of underlying key drivers and focus on multifaceted and complementary approaches. Individual intervention components have varying impacts on effectiveness, provider autonomy, and sustainability. The best urine culture stewardship strategies ultimately include both technical and socio-adaptive components with long-term, iterative feedback required for sustainability.

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Using statistical process control charts to measure changes from a nurse-driven protocol to remove urinary catheters

Reynolds

Lozano

Fleurant

et al. 2022

American Journal of Infection Control

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Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative

Cited by 7 publications

References 6 publications

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Quality Improvement Interventions and Implementation Strategies for Urine Culture Stewardship in the Acute Care Setting: Advances and Challenges

Using statistical process control charts to measure changes from a nurse-driven protocol to remove urinary catheters

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