Applying Mindful Evidence-Based Practice at the Bedside Using Catheter-Associated Urinary Tract Infection as a Model

2013 ◽  
Vol 34 (10) ◽  
pp. 1099-1101 ◽  
Author(s):  
Hiroko Kiyoshi-Teo ◽  
Sarah L. Krein ◽  
Sanjay Saint
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Infection Prevention ◽  
Evidence Based Practice ◽  
Catheter Removal ◽  
Evidence Based ◽  
Practice Model

We introduce a mindful evidence-based practice model to operationalize mindfulness to improve bedside infection prevention practices. Using catheter-associated urinary tract infection prevention as an example, we illustrate how clinicians can be more mindful about appropriate catheter indications and timely catheter removal.

scholarly journals Revisiting CAUTI Prevention: A Multifaceted Approach using Lean Six Sigma

2020 ◽  
pp. 1-64
Author(s):  
Lisa Ann Behrend
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Six Sigma ◽  
Infection Prevention ◽  
Comprehensive Evaluation ◽  
Lean Six Sigma ◽  
Evidence Based ◽  
Infection Rates ◽  
Tract Infections

This project identified gaps in policy and processes to improve patient outcomes related to workflow in the catheter-associated urinary tract infection policy and process at a 400-bed hospital in southern California. Even with an evidence-based infection prevention bundle in place, the current process was not working, as demonstrated by high catheter-associated infection rates for the last two years. This project answers the question: Does the use of a comprehensive evaluation of the current policy and process using the Lean Six Sigma quality improvement model influence a reduction in infection rates in patients who have an internal urinary catheter over 15 weeks? Despite published consensus guidelines for the diagnosis, prevention, and treatment of catheter-associated urinary tract infections; a single, evidence-based approach to the reduction of urinary tract infection does not exist. Avoiding the placement of catheters and encouraging early removal are the most effective interventions to prevent infection. The outcomes of the project resulted in a decrease in infections and significant cost reduction for the organization related to patient days and fines. Implementation of teams, nurse-driven protocols, and the establishment of bi-annual staff education were successful interventions. Lean Six Sigma played a significant role in the recognition of practical strategies required to ensure the effective use of proven infection prevention and to decrease the burden of disease correlated with indwelling urinary catheterization.

Types of Interventions

2021 ◽  
pp. 24-39
Author(s):  
Jennifer Meddings ◽  
Vineet Chopra ◽  
Sanjay Saint
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Infection Prevention ◽  
Indwelling Catheters ◽  
Inappropriate Use ◽  
Day Hospitals ◽  
Healthcare Associated

Infection prevention programs were slow to develop—they were a rarity as recently as the 1950s—but they have become a staple of modern-day hospitals. Great strides have been made in identifying clinician activities that can control or prevent various healthcare-associated infections. This chapter describes the contents of an infection prevention bundle for catheter-associated urinary tract infection (CAUTI). In the case of CAUTI, the so-called bladder bundle sets forth appropriate and inappropriate use of indwelling catheters. A nursing checklist, on paper or as a template in the electronic medical record, is used to track patients’ daily urinary catheter status. Doctors and nurses are asked to rethink when a Foley is called for, what alternatives should be considered, what catheter equipment should be used, and how long the Foley should remain in place.

Taking on Clostridioides difficile

2021 ◽  
pp. 141-157
Author(s):  
Jennifer Meddings ◽  
Vineet Chopra ◽  
Sanjay Saint
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Clostridium Difficile ◽  
Tract Infection ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Broad Spectrum ◽  
Infection Prevention ◽  
Hospital Staff ◽  
Clostridioides Difficile

The adaptive approach used in the previous chapters to prevent catheter-associated urinary tract infection (CAUTI) is applied to an initiative to prevent Clostridioides difficile (formerly Clostridium difficile) infection. These two initiatives differ regarding their scope, the members of their teams, and the elements of their bundles. For preventing C. difficile, for example, the most important bundle item is antimicrobial stewardship since the use of broad-spectrum antibiotics vastly increases a person’s risk of becoming infected. Infectious diseases physicians or clinical pharmacists are to examine the circumstances of antimicrobial prescriptions they have filled to see whether they meet infection prevention standards; if not, the prescribing physician will receive prompt feedback. Differences aside, the basic elements of the CAUTI framework apply, from the C-suite’s decision to go ahead with the initiative to the tactics used to sell the C. difficile bundle to the hospital staff.

scholarly journals 102UROSEPSIS WITH GRAM-NEGATIVE BACTERAEMIA AUDIT: DEVELOPING A URINARY TRACT INFECTION PREVENTION CHECKLIST

2018 ◽  
Vol 47 (suppl_3) ◽  
pp. iii31-iii42
Author(s):  
F Humphries ◽  
N Wigglesworth ◽  
A Hopper ◽  
C Buckley ◽  
K Giridharan ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Infection Prevention ◽  
Gram Negative

scholarly journals 876Strategies for Success in Emergency Department Catheter-Associated Urinary Tract Infection Prevention Programs

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S251-S252
Author(s):  
Eileen J. Carter ◽  
Daniel J. Pallin ◽  
Leslie Mandel ◽  
Corine Sinnette ◽  
Jeremiah Schuur
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Infection Prevention ◽  
Prevention Programs
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