Abstract

Background: Healthcare associated infections have been an important issue for patient's safety. The urinary catheters are invasive catheters frequently used in the critically ill patients, however, are also the major factors of catheter-related urinary tract infections. Objective: The purpose of this study is to evaluate the effectiveness of clinical reminder system for critically ills on preventing the catheter-associated urinary tract infections (CAUTIs). Methods: A pre-post quasi-experimental design study was conducted in a 42-bed medical-surgical ICU in a medical center. Study was divided into three phases. Phase I: To develop an evidence-based and expert opinion were collected to develop indications of catheter removal; Phases II: Control group data were collected. Phases III: Implantation of clinical reminder information system for removing urinary catheter, and then the experimental group data were collected. Results, Discussion & Conclusion: There were 104 patients in experimental group and 114 patients in control group. The study results revealed that the experimental group had a lower rate of CAUTI and catheterization days (p < .05). The results of this study provide reference for clinical nursing care personnel on catheter removal and improvement of the rate of CAUTI.

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