Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Acknowledgments
Copyright and Source Information
Preamble
Summary
Epidemiology of Invasive Devices and Complications
Examples of Patient Harm Related to Invasive Devices
Preventing Device-Associated Infections
Placement, Maintenance, and Removal
Peripheral Venous Catheters
Central Venous Catheters
Urinary Catheters
Ventilators
Resident Physicians as Safety Champions
Resident Physicians as Champions
Incorporating Device Evaluation Into Daily Work
Differences Between the Units
Sustainability
Preventing CAUTI: Focus on Culturing Stewardship
Tools To Help Mitigate Device Risk
Resident Physician Device Risk Checklist
Resident Physician Device Risk Pocket Card
CUSP Toolkit
TeamSTEPPS Pocket Guide
Plan To Help Incorporate the Role of Champions for Resident Physicians
References
Appendix A. Teamwork and Communication Definitions and Tools
Acknowledgments
The toolkit was prepared by Mohamad G. Fakih, M.D., M.P.H.
Contributors
St. John Hospital and Medical Center
Karen Jones, R.N.; Debi Hopfner, R.N.; Rebecca Battjes, B.A.; Takiah Williams, R.N.; Steven Minnick, M.D., M.B.A.; Mina El-Kateb, M.D.; Anjun Kumar, M.D.; Susanna Szpunar, Ph.D., M.P.H.; Elango Edhayan, M.D.; Raymond Hilu, M.D.; Louis Saravolatz, M.D.
Henry Ford Hospital
Marcus Zervos, M.D.; Kate Reyes, M.D., M.P.H.
Health Research & Educational Trust
Marcia Cooke, D.N.P., R.N.-B.C..; Barbara Edson, R.N., M.B.A., M.H.A.
Copyright and Source Information
This document was prepared in part with contract funding provided by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
It is based on two previous documents prepared for the Partnership for Patients Ascension Health Hospital Engagement Network efforts to reduce hospital-acquired infections and promote culturing stewardship (November 2012 and February 2013).
Disclaimer: The opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ or the U.S. Department of Health and Human Services.
None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this document.
This document may be used and reprinted without permission except those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.