2.50
Hdl Handle:
http://hdl.handle.net/10755/157196
Category:
Abstract
Type:
Presentation
Title:
Food For Foleys: An Incentive to Reduce Urinary Tract Infections in ICU
Author(s):
Andrews, Lois K.; Odachows, Tracey
Author Details:
Lois K. Andrews, RN,MSN,CCRN, Sentara Norfolk General Hospital, Norfolk, Virginia, USA, email: lkandrew@sentara.com; Tracey Odachows
Abstract:
PURPOSE: Despite established bundles for the prevention of urinary tract infections (UTIs), our rate was still above threshold of 1.2. A quality improvement project was implemented to examine compliance with established bundles and current research and to implement changes to decrease our rate of UTIs. DESCRIPTION: We started weekly UTI reports for each ICU, including the date since last infection. Patients developing a UTI were reported real-time for analysis. Our initial bundle included 4 elements: silver-impregnated catheter, proper perineum and catheter care, closed system (red seal) remains intact, and Foley stabilization device properly applied. A prevalence study was conducted through all units examining actual practice and interviewing staff. An algorithm for Foley catheter removal was developed from the research and added to the other portions of the bundle. The eICU and emergency department were included in our efforts to promote the algorithm and program. EVALUATION/OUTCOMES: The prevalence study showed 75% compliance with Foley bundle; education focused on fall-out areas. During the first month of the program, 3 ICUs decreased their DUR by about 20%, compared to 2008. An overall decrease in DUR of 9.8% compared to 2008 was achieved during the program. One ICU achieved a 58% DUR reduction during the last month of the program. There were no UTIs in any of the 7 ICUs for 23 weeks. Overall, our ICU UTI rate declined from 1.44 for calendar year 2008 to 0.76 for calendar year 2009 through August-a 47% reduction. ICU Foley catheter device utilization rate decreased from 0.81 to 0.76, a 6% reduction during this same period.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleFood For Foleys: An Incentive to Reduce Urinary Tract Infections in ICUen_GB
dc.contributor.authorAndrews, Lois K.en_GB
dc.contributor.authorOdachows, Traceyen_GB
dc.author.detailsLois K. Andrews, RN,MSN,CCRN, Sentara Norfolk General Hospital, Norfolk, Virginia, USA, email: lkandrew@sentara.com; Tracey Odachowsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157196-
dc.description.abstractPURPOSE: Despite established bundles for the prevention of urinary tract infections (UTIs), our rate was still above threshold of 1.2. A quality improvement project was implemented to examine compliance with established bundles and current research and to implement changes to decrease our rate of UTIs. DESCRIPTION: We started weekly UTI reports for each ICU, including the date since last infection. Patients developing a UTI were reported real-time for analysis. Our initial bundle included 4 elements: silver-impregnated catheter, proper perineum and catheter care, closed system (red seal) remains intact, and Foley stabilization device properly applied. A prevalence study was conducted through all units examining actual practice and interviewing staff. An algorithm for Foley catheter removal was developed from the research and added to the other portions of the bundle. The eICU and emergency department were included in our efforts to promote the algorithm and program. EVALUATION/OUTCOMES: The prevalence study showed 75% compliance with Foley bundle; education focused on fall-out areas. During the first month of the program, 3 ICUs decreased their DUR by about 20%, compared to 2008. An overall decrease in DUR of 9.8% compared to 2008 was achieved during the program. One ICU achieved a 58% DUR reduction during the last month of the program. There were no UTIs in any of the 7 ICUs for 23 weeks. Overall, our ICU UTI rate declined from 1.44 for calendar year 2008 to 0.76 for calendar year 2009 through August-a 47% reduction. ICU Foley catheter device utilization rate decreased from 0.81 to 0.76, a 6% reduction during this same period.en_GB
dc.date.available2011-10-26T19:30:28Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:30:28Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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