Abstract
Results: The automated surveillance tool was 94% sensitive for detection urinary catheter days (1,204 of 1,282 catheter-days detected) and 83% sensitive for detection of central venous catheter days (558 of 671 catheter-days detected). Missing device days using the automated surveillance method were due to failure to complete the daily nursing note. For both methods of surveillance, external urinary catheters or suprapubic catheters were occasionally reported incorrectly as indwelling catheters. The use of the automated surveillance tool could reduce the time required for surveillance by an estimated 18 work-weeks per year in our facility. Conclusion: In a VA hospital, we found that an automated surveillance tool based on existing electronic medical records was an efficient method to provide real-time monitoring of indwelling urinary catheter and central venous catheter device-days. Interventions to improve nursing documentation are needed to optimize the sensitivity of this surveillance method.
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