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.

The authors presented 10 common barriers and solutions to CAUTI prevention, adapted from www.catheterout.org:

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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:

5 Components of a Nationwide CAUTI Reduction Initiative
Patient Safety Tool: Stop CAUTI Implementation Guide

7 Keys to CAUTI Reduction

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