Impact of a Daily Hospital-wide Huddle on Urinary Catheter Device Utilization nd Catheter Associated Urinary Tract Infection Rates

Abstract

<h3>Background</h3> Excess device utilization may lead to device-related complications and infections. Increasing awareness of indwelling urinary catheters (IUC) can promote early removal and reduce device utilization rates (DUR). We implemented a hospital-wide Daily Interdisciplinary Safety Huddle (DISH) with infection control and device components. The purpose of this study is to evaluate the impact of DISH on IUC DUR and CAUTI rates. <h3>Methods</h3> Quasi-experimental study assessing DURs and infection rates before and after implementation of DISH. At DISH, infection prevention priorities and device utilization are discussed. Device use is reported by managers and the infection control practitioner (ICP) reviews indications and plans for removal. Use of external urinary catheter is encouraged and education is provided at the huddle and at the bedside. Data before and after implementation was compared. Paired T-test was used to assess for differences between both groups. <h3>Results</h3> DISH with infection prevention interventions was successfully implemented at a community hospital. The average DUR for IUC in ICU and non-ICU settings was reduced from 0.56 to 0.35 and 0.27 to 0.12 respectively. CAUTIs decreased by 87%. CAUTI rates decreased from 1.27/1000 IUC days (n=9) to 0.16 (n=1) after implementation. <h3>Conclusions</h3> A daily huddle with infection prevention and device components promoted IUC removal and reduced CAUTIs in ICU and non-ICU settings. The impact was more profound in non-ICU settings, where devices are less likely to meet indication. The reduction in CAUTIs had estimated cost savings of $110,793. stment or additional training and can bring major cost savings. DISH increased device removal, accountability and promotes a culture of safety. Our facility has remained CAUTI and CLABSI-free for more than 4 years. DISH was an important part of our journey to zero.