Medicare claims data identify hospital-acquired catheter-associated urinary tract infections with limited accuracy

2009 ◽  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Claims Data ◽  
Medicare Claims ◽  
Tract Infections ◽  
Hospital Acquired ◽  
Medicare Claims Data ◽  
Limited Accuracy

Identification of Hospital-Acquired Catheter-Associated Urinary Tract Infections From Medicare Claims

Medical Care ◽  
2009 ◽  
Vol 47 (3) ◽  
pp. 364-369 ◽  
Author(s):  
Chunliu Zhan ◽  
Anne Elixhauser ◽  
Chesley L. Richards ◽  
Yun Wang ◽  
William B. Baine ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Medicare Claims ◽  
Tract Infections ◽  
Hospital Acquired

Reducing Foley Catheter Device Days in an Intensive Care Unit

2006 ◽  
Vol 17 (3) ◽  
pp. 272-283
Author(s):  
Laura Reilly ◽  
Patty Sullivan ◽  
Sharon Ninni ◽  
Denise Fochesto ◽  
Karen Williams ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Foley Catheter ◽  
Hospital Costs ◽  
Evidence Based ◽  
Tract Infections ◽  
Evidence Based Guidelines ◽  
Hospital Acquired

The prolonged use of indwelling urinary catheters can lead to many complications, the most prevalent being urinary tract infections. These hospital-acquired infections can increase hospital costs, length of stay, and mortality rates. Evidence-based guidelines for the prevention of urinary tract infections are compared and discussed. Minimizing indwelling urinary catheter use is well-recognized in the literature to reduce the risk of these infections. To decrease the incidence of catheter-associated urinary tract infections, the staff of a 22-bed, mixed medical, surgical, and trauma intensive care unit focused on reducing the number of foley catheter device days. A multidisciplinary team was convened to create an evidence-based plan. Staff nurses were engaged in the development and implementation of the plan. Criteria-based foley catheter guidelines, a decision-making algorithm, and a daily checklist were implemented that led to a significant reduction in foley catheter device days and a decrease in catheter-associated urinary tract infections.

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