10 Solutions to Common CAUTI Reduction Barriers
Reducing urinary catheter use and catheter-associated urinary tract infections can be challenging in the engagement, education, execution and evaluation phases, but there are several solutions, according to a report in Infection Control and Hospital Epidemiology.
1. Nurses are not on board.
Solution: Gain buy-in before implementing the program.
2. Physicians resist the change.
Solution: Provide data on urinary catheter use and CAUTI rate, and identify a physician champion to gain support among colleagues.
3. Leadership does not prioritize CAUTI.
Solution: Present a business case using CMS' nonpayment rule and public reporting of CAUTI.
4. Healthcare workers have gaps about consequences of urinary catheter use.
Solution: Develop a multimodal educational campaign, and assess understanding.
5. Catheters are often used unnecessarily.
Solution: Develop a policy on appropriate catheter placement.
6. Catheters are not taken out in a timely manner.
Solution: Incorporate daily catheter evaluation into workflow.
7. Proper insertion technique is not followed.
Solution: Develop or update the catheter insertion policy, and consider periodic audits of placement.
8. Healthcare workers identify a lack of needed resources.
Solution: Build capacity, and consider using electronic medical records to prompt evaluation or removal of the catheter.
9. Although compliance with protocols increases, urinary catheter use does not decrease significantly.
Solution: Assess changes in the patient population, and examine data related to labeled indications for accuracy.
10. National Healthcare Safety Network CAUTI rate does not decrease despite a decrease in catheter placement.
Solution: Examine the urinary catheter utilization ratio to determine catheter use changes per number of patients; then compare use with the population-based CAUTI measure.
More Articles on CAUTIs:
© Copyright ASC COMMUNICATIONS 2012. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
- 7 Guidelines for Preparing a News Release About Surgery Center Accreditation
- Hiring Physicians: 6 Questions Providing Insight Into Candidates
- Physicians: Timeline for 2014 Deadlines to Remember
- Spotlight on MMX Healthcare: Developing Reliable, Affordable Tools for ASC Data Tracking & Management
- Hand Hygiene Story Roundup