The National Patient Safety Goal

Radley, D., Wasserman, M., Olsho, L., Shoemaker, S., Spranca, M., & Bradshaw, B. (2013). Reduction in medications errors in hospitals due to adop

Nurses lacked knowledge in the use and was unaware of the importance of the underlying evidence- base recommended criteria’s indicated on the nurse driven protocol to remove inappropriate UC’s. A nurse driven indwelling catheter removal protocol is an evidence base tool recommended by infection control organization and experts for the early removal of unnecessary or inappropriately placed urinary catheters (UC). Evidence shows that urinary catheters are the source of catheter associated urinary tract infection (CAUTI). CAUTI, is the leading cause of hospital acquired infections in the United States. The purpose of this evidence-based quality project is to evaluate the effectiveness of an educational intervention on the importance and use of the nurse driven protocol on nurses ' knowledge and CAUTI rates.

Joint Commission released national patient safety goals for hospitals in January of 2016. These patient safety goals were “established to help accredited organizations address specific areas of concern in regards to patient safety” (Facts about the National Patient Safety Goals, 2015). National patient safety goal 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTI) in hospitalized patients. Evidence based practice should be implemented to stop these common infections occurring in patients nationwide. Indwelling urinary catheters are only recommended in certain patients, for example to prevent further breakdown of sacral wounds or pressure ulcers in incontinent patients, for comfort in end of life care

National Patient Safety Goals (NPSGs), established in 2002 by the Joint Commission, is to help accredited organizations address specific areas of concern in regard to patient safety ("Catheter-Associated," 2015). NPSG.07.06.01 Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI) is a 2015 NPSG ("The Joint Commission," 2015). Our facility has 1.32 CAUTIs per 1000 device days (Carson, 2015). Decreasing CAUTIs can be achieved with a strict goal, addressing the financial implications, interdisciplinary collaboration, nursing leadership, a measurement tool, and discussing the future healthcare delivery methods.

Also another serious complication of CAUTI is BSI (Blood stream infections) that can be fatal if not caught and treated promptly. “The Clinical Performance of Quality Health Care, along with Joint Commission” offers standards and objectives for facilities to assess measure and improve their standards at the lowest cost possible. The database covers nursing care and education, along with guidelines on prevention. Moreover the JCAHO regulatory standards for catheterized patients are explained and the documentation that is expected when JCAHO inspections are rendered in a facility. The source “Stop orders to reduce inappropriate urinary catheterization in hospitalized patients” states that by following standard precautions with every patient these infections can be prevented. . Also the source explored whether catheters should be used at all in an effort to decrease the incidence of CAUTI’s. Intermittent catheterizations along with supra-pubic were explored with a decreased incidence of bacteria being present in the bladder afterwards. The source “Strategies to prevent catheter-associated urinary tract infections in acute care hospitals” offered ways of cleansing and disinfecting the skin before insertion to reduce the risk of infection. Many CAUTI’s are linked to bacteria harboring in or around the site at insertion. By using not only aseptic technique but also cleansing the skin with chlorhexadine can decrease he incidence of infection

Preventing Catheter-Associated Urinary Tract Infections in Older Adults: Improving Health Outcomes through Assessment, Intervention, and Prevention

The National Patient Safety Goals were first developed in 2002 by the Joint Commission. The goals are established to help guide medical organizations to focus on which areas of patient safety need improving (Hudson 2016). The first set of goals were released and put in motion in 2003, prior to 2003 there were no policies or goals for an organization to set their sights on (Hudson 2016 page 2). A panel of experts advises the Joint Commission on the development of new goals or the updating of old ones. The panel is called the Patient Safety Advisory Group and is made up of nurses, risk managers, clinical engineers, and physicians (Hudson 2016). The National Patient Safety Goals have specific goals geared toward the type of medical organizations such as a critical access hospital, home care, behavioral health, and long term care services to name a few (Hudson 2016 page 2). The National Patient Safety Goals help protect patients and make sure providers are practicing safely across the board.

Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.

This article does not provide the search strategy including a number of databases and other resources which identify key published and unpublished research. In this article, both the primary sources and the theoretical literatures are collected and appraised in order to generate the research question and to conduct knowledge-based research. In the section of the literature review, nineteen professional articles are appraised in order to provide the significance and background of the study. Saint develops the research question based on these analyses. “Catheter-associated urinary tract infections in surgical patients: A controlled study on the excess morbidity and costs” is one of the primary sources written by Givens and Wenzel who conduct and analyze this study. In addition, “Clinical and economic consequences of nosocomial catheter-related bacteriuria” is a review of a literature article which is the secondary source. Although many studies state that patient safety is a top priority and CAUTI can be controlled by the caution of health care providers, the infection rate is relatively high among other nosocomial infections. One of the reasons Saint and colleagues uncovered is unawareness and negligence by health care

The policy was initiated July 2015. Hospital across the world are struggling with catheter-associated urinary tract infection which is an easily preventable hospital acquired infection. In nursing school, of the first skills check-off in the use of aseptic technique. During my maternity and pediatric clinical rotation in nursing school the proper insertion of an indwelling urinary catheter using aseptic technique was a required skill check off. As a new nurse on the medical surgical unit during my eight-week orientation proper insertion of indwelling urinary catheter was required competency check off. As a floor nurse and ICU nurse, I have put in many urinary catheters and have used my nursing judegement to discontinue those catheters that

Carter, Pallin, Mandel, Sinnette and Schurr (2016) conducted a qualitative study to investigate the catheter-associated urinary tract infections (CAUTIs) reduction practices in the emergency department (ED). These researchers clearly identified that little is understood about ED workflow and ED-specific CAUTI prevention strategies. In an effort to better understand the flow, they enrolled EDs with CAUTI prevention strategies, so they can observe the motivations, risk factors and strategies to address those risks. This topic is very relevant to nursing, as today’s healthcare is in the midst of a paradigm shift and care has redirected its attention from quantity towards quality. Healthcare facilities, driven by better reimbursement from

Catheter associated urinary tract infections (CAUTIs) have been a major issue in health- care. The implementation of Foley catheterization further heightens the possibilities of patients gaining urinary tract infection. As a result, healthcare workers will have to be meticulous when attending to patients who are being treated with catheterization. The secondary infections associated with catheterization have triggered a plethora of complications leading to prolonged hospital stays, higher hospital costs, and even deaths. Similarly, the case studies explored, show that CAUTIs are responsible for the majority of hospital acquired infections (HAI) that occur yearly. Dumont and Wakeman (2010) have concluded that catheters have been known to be

The Quality Improvement nursing process that I have chosen to research is patient safety. I have chosen to focus specifically on the topic of catheter associated urinary tract infections (CAUTI’s) during hospitalization and their preventions. It is estimated that 15-25% of hospitalized patients receive a urinary catheter throughout their stay, whether or not they need it. A large 80% of all patients diagnosed with a urinary tract infection (UTI) can be attributed to a catheter (Bernard, Hunter, and Moore, 2012). The bacteria may gain entry into the bladder during insertion of the catheter, during manipulation of the catheter or drainage system, around the catheter, and after removal.

There are numerous current prevention and improvement initiatives taking place in the health care system to reduce the occurrence of catheter associated urinary tract infections (CAUTIs). Some of the most prominent interventions are to decrease the number of catheters being inserted and removing the catheters as quickly as possible. Stamford Hospital located in Connecticut, USA, implemented a CAUTI reduction project after noticing that education-based approaches and handwashing efforts had not decreased the incidence of CAUTIs. They implemented a nurse’s checklist for the justified use of catheters and timely removal of urinary catheters. They also added a specific catheter charting module in the electronic health record, and held biweekly

Approximately 75% of hospital-acquired UTIs are caused by a catheter which is drainage tube that is inserted into the urinary bladder through the urethra and connected to a closed collection system. Indwelling catheters are medical intervention to relieve urinary retention and urinary incontinence. Due to the frequent and unnecessary use of catheters during hospitalization, significant numbers of patients are placed at risk for complications associated with the use of catheters (Jacobsen et al, 2008). A catheter-associated