Abstract
Objective:To develop and implement an innovative change, in the form of a physical reminder sticker protocol, to mitigate the high incidence of CAUTI in the elderly home care patient population at GLTD. Methods: A comprehensive literature review was conducted that served to provide a robust evidence base to add assure the implementation programme was grounded in an evidence-based approach. Said literature review also added to steps identified for a facility-wide change implementation. Change management strategies were identified herein. A comprehensive implementation plan, developed in accord with the IHI Model for Improvement was presented. Evaluation: A variety of evaluation strategies and methodologies were identified to assess baseline data, interim data, and data results of a pilot implementation, short-term post-implementation results, and long-term postimplementation strategies. Discussion: Implications for the organisation and clinical setting were discussed. Recommendations for a robust Phase 2 were presented. Project strengths and weaknesses were discussed. Results: There were a total of 80 patients with catheter under HHCS in the beginning of the project. In the first three months on implementing the CAUTI program there was a significant decreases in the number of patients, from 80 it dropped to 60 a decrease of 25 %. The second phase saw a sharp decrease; the catheter was removed from 60 % of the patients. It was 10 percentage more than the anticipated by 50% by the end of March 2015.
Highlights
According to Nicolle, catheter acquired urinary tract infections (CAUTI) are considered among the most common infections attributed to those acquired due to the delivery of healthcare itself
In the first three months on implementing the CAUTI program there was a significant decreases in the number of patients, from 80 it dropped to 60 a decrease of 25 %
healthcare acquired infections (HAI) are commonly associated with inpatient hospitalisations, many patients are faced with the medical necessity of utilising indwelling catheters in the homecare setting, giving rise to a new population of patients experiencing device-related HAI, and in particular CAUTI
Summary
According to Nicolle, catheter acquired urinary tract infections (CAUTI) are considered among the most common infections attributed to those acquired due to the delivery of healthcare itself. The Centers for Disease Control (CDC, 2015) report CAUTI share the same statistics as pneumonia in their relation to healthcare acquired infections (HAI). The CDC (2015) continues to report that 99.99 % of UTIs are related to urinary tract catheterisation. Upwards of 70–80 % of said CAUTI are associated with indwelling urethral catheters, reported to be the most common amongst all indwelling medical devise. The Institute for Healthcare Improvement [1] reports that the risk of CAUTI associated with all catheter placement ranges from 3–7 %. The CDC (2015) reports that CAUTI are responsible for upward of 13,000 deaths on an annual basis. Whilst HAI cost the NHS an estimated £1bn, the inpatient financial burden to the NHS attributable to CAUTI averages £123.89, or £ 2,295 per patient
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