2.50
Hdl Handle:
http://hdl.handle.net/10755/162016
Category:
Abstract
Type:
Presentation
Title:
Decision Support to Reduce Urinary Catheter Insertions
Author(s):
Chang, Nancy; Fink, Regina; Hulett, Teresa; Flynn Makic, Mary Beth; Oman, Kathleen; Schillereff, Patricia; Scott, Robin A.; Severyn, Fred A.; Wald, Heidi
Author Details:
Nancy L. Chang, BSN, RN, CNOR, University of Colorado Hospital, Aurora, Colorado, USA; Regina Fink, PhD, RN, AOCN, FAAN; Teresa Hulett, BSN, RN; Mary Beth Flynn Makic, PhD, RN, CNS, CCNS, CCRN; Kathleen Oman, PhD; Patricia Schillereff, RN; Robin A. Scott, ND, RN, CNS, CEN; Fred A. Severyn; Heidi Wald, MD
Abstract:
Poster presented at AORN's 58th Annual Congress: Clinical Issue: Catheter-Associated Urinary Tract Infections (CAUTIs) are common, morbid, and costly. The reduction of CAUTIs is a patient safety priority. Current guidelines delineate only a handful of indications for catheter insertion; studies have suggested that up to 1/3 of Foleys are unnecessary and often lack a clear indication for placement. Description of Team: A multidisciplinary team was created to complete the project that included physicians, nurses, and researchers. Preparation and Planning: The purpose of this EBP project was to develop and measure the effectiveness of decision support tools in the operating room (OR) to reduce unnecessary insertions of Foleys. Assessment: More than 80% of Foleys are placed either in the OR or the emergency department (ED). Implementation: Focus group (FG) methodology was used to explore current decision making for placing Foleys. Evidence-based decision algorithms and processes to facilitate removal of Foley catheters postoperatively were developed. Pre/post utilization of urinary catheters were measured to test the impact of the decision support. A survey of staff satisfaction was also used to measure effectiveness of the study interventions. Outcome: Decision support tools were developed and disseminated. Utilization results of Foleys utilization and survey findings will be completed by December 2010. Implications for Perioperative Nursing: Preventing patient harm, specifically CAUTIs, from inappropriate use of Foleys is a patient safety priority. Developing clear decision support tools based on best evidence to guide appropriate Foley use provides a clear mechanism to reduce inappropriate device use and thus less opportunity for urinary tract infections.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
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_US
dc.typePresentationen_GB
dc.titleDecision Support to Reduce Urinary Catheter Insertionsen_GB
dc.contributor.authorChang, Nancyen_US
dc.contributor.authorFink, Reginaen_US
dc.contributor.authorHulett, Teresaen_US
dc.contributor.authorFlynn Makic, Mary Bethen_US
dc.contributor.authorOman, Kathleenen_US
dc.contributor.authorSchillereff, Patriciaen_US
dc.contributor.authorScott, Robin A.en_US
dc.contributor.authorSeveryn, Fred A.en_US
dc.contributor.authorWald, Heidien_US
dc.author.detailsNancy L. Chang, BSN, RN, CNOR, University of Colorado Hospital, Aurora, Colorado, USA; Regina Fink, PhD, RN, AOCN, FAAN; Teresa Hulett, BSN, RN; Mary Beth Flynn Makic, PhD, RN, CNS, CCNS, CCRN; Kathleen Oman, PhD; Patricia Schillereff, RN; Robin A. Scott, ND, RN, CNS, CEN; Fred A. Severyn; Heidi Wald, MDen_US
dc.identifier.urihttp://hdl.handle.net/10755/162016-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Clinical Issue: Catheter-Associated Urinary Tract Infections (CAUTIs) are common, morbid, and costly. The reduction of CAUTIs is a patient safety priority. Current guidelines delineate only a handful of indications for catheter insertion; studies have suggested that up to 1/3 of Foleys are unnecessary and often lack a clear indication for placement. Description of Team: A multidisciplinary team was created to complete the project that included physicians, nurses, and researchers. Preparation and Planning: The purpose of this EBP project was to develop and measure the effectiveness of decision support tools in the operating room (OR) to reduce unnecessary insertions of Foleys. Assessment: More than 80% of Foleys are placed either in the OR or the emergency department (ED). Implementation: Focus group (FG) methodology was used to explore current decision making for placing Foleys. Evidence-based decision algorithms and processes to facilitate removal of Foley catheters postoperatively were developed. Pre/post utilization of urinary catheters were measured to test the impact of the decision support. A survey of staff satisfaction was also used to measure effectiveness of the study interventions. Outcome: Decision support tools were developed and disseminated. Utilization results of Foleys utilization and survey findings will be completed by December 2010. Implications for Perioperative Nursing: Preventing patient harm, specifically CAUTIs, from inappropriate use of Foleys is a patient safety priority. Developing clear decision support tools based on best evidence to guide appropriate Foley use provides a clear mechanism to reduce inappropriate device use and thus less opportunity for urinary tract infections.en_GB
dc.date.available2011-10-27T08:44:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:44:20Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
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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