Use these tables to evaluate your data submission rates and outcome data results by comparing your rates to the tables.
| CAUTI DATA SUBMISSION: Look at both outcome and process data submission rates | |||
| Outcome Data Submission | Process Data Submission | Suggested Actions/Questions To Consider | |
|---|---|---|---|
| At least 80% and same or better than last month | At least 60% and same or better than last month | Congratulate team; continue current work/data review | |
| At least 80% and same or better than last month | Less than 60% OR worse than last month | Does team understand the rounding process? Have they designated a lead person for rounding? Any barriers to data submission? | |
| Less than 80% OR worse than last month | At least 60% and same or better than last month | Is team working with their Infection Control department to obtain this data? Any barriers to data submission? | |
| Less than 80% OR worse than last month | Less than 60% OR worse than last month | Does team intend to actively participate? Review all the above actions with them What are their barriers? | |
| CAUTI DATA REVIEW: Look at 3 Parameters: CAUTI Rates, Percent of Patients with at least one appropriate indication, and Outcome Prevalence. Use one of the two tables below. | |||
| If CAUTI Rates are DECREASING (Favorable Trend): Look at % of Patients with Appropriate Indication and Outcome Prevalence and use this table: | |||
| CAUTI Rate | % with Approp Indication | Prevalence (outcome data) | Suggested Actions/Questions To Consider |
| Favorable (decreasing) | Favorable (increasing) | Favorable (decreasing) | Congratulate team; continue current work/data review |
| Favorable (decreasing) | Favorable (increasing) | Unfavorable (increasing) | Has case mix changed so more patients appropriately need catheters? Is unit doing daily rounding for removal? |
| Favorable (decreasing) | Unfavorable (decreasing) | Favorable (decreasing) | Revisit staff education re: appropriate HICPAC indications |
| Favorable (decreasing) | Unfavorable (decreasing) | Unfavorable (increasing) | Revisit staff education re: appropriate HICPAC indications; Is unit doing daily rounding for removal? |
| If CAUTI Rates are INCREASING (Unfavorable Trend): Look at % of Patients with Appropriate Indication and Outcome Prevalence and use this table: | |||
| CAUTI Rate | % with Approp Indication | Prevalence (outcome data) | Suggested Actions/Questions To Consider |
| Unfavorable (increasing) | Favorable (increasing) | Favorable (decreasing) | Is rate up due to smaller denominator (catheter days)? Are there catheter insertion or care/maintenance issues? |
| Unfavorable (increasing) | Favorable (increasing) | Unfavorable (increasing) | Are there catheter insertion or care/maintenance issues? Is unit rounding daily for removal? |
| Unfavorable (increasing) | Unfavorable (decreasing) | Favorable (decreasing) | Are there catheter insertion or care/maintenance issues? Revisit staff education re: appropriate indications |
| Unfavorable (increasing) | Unfavorable (decreasing) | Unfavorable (increasing) | Are there catheter insertion or care/maintenance issues? Revisit staff education re: appropriate indications; Is unit rounding daily for catheter removal? |
