Abstract
BACKGROUND: Ureteral catheters are commonly used by different medical specialties more often in medical centers that have a considerable flow of patients making monitoring difficult. Furthermore, forgotten catheters can cause serious complications increasing hospital costs and the possibility of litigation. This study evaluated a Google Drive-hosted computer control system with color-coded warnings in an attempt to reduce the protracted use of ureteral catheters. METHODS: One month after implanting the program, 119 patients were enrolled in the double J ureteral catheter control system. RESULTS: After the implantation of the system, there was a 16.5% reduction in the length of use of ureteral catheters compared to one year earlier. Importantly, the percentage of patients using double J for six months or more decreased, thus the system has contributed significantly to reduce cases of forgotten catheters. The primary limitation was the relatively small number of patients who require prolonged use of ureteral catheters benefit from the use of this computerized warning system. CONCLUSIONS: This study showed that there was a reduction in the relative risk of forgotten catheters, a shorter mean time of catheter use and a decrease in the number of patients with excessively long catheter use.
Highlights
Ureteral catheters are commonly used to drain the upper urinary tract and are associated with short- and long-term complications[1]
This study proposes an easy-to-use, low-cost tool to improve the follow-up of patients using ureteral catheters, a Google Drive-hosted computer control system with color-coded warnings to facilitate the physician's recognition of prolonged catheter use
In August 2015, one month after implanting the program, 119 patients were enrolled in the double J ureteral catheter control system
Summary
Ureteral catheters are commonly used to drain the upper urinary tract and are associated with short- and long-term complications[1]. Manufacturers set the time limit for ureteral catheter use at six months even though, in exceptional circumstances, this can be extended. In relation to the medical complications caused by forgotten ureteral catheters, patients can generate high hospital costs, often with prolonged hospitalizations. This study evaluated a Google Drive-hosted computer control system with color-coded warnings in an attempt to reduce the protracted use of ureteral catheters. METHODS: One month after implanting the program, 119 patients were enrolled in the double J ureteral catheter control system. The primary limitation was the relatively small number of patients who require prolonged use of ureteral catheters benefit from the use of this computerized warning system. CONCLUSIONS: This study showed that there was a reduction in the relative risk of forgotten catheters, a shorter mean time of catheter use and a decrease in the number of patients with excessively long catheter use
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