Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-23T15:18:22.641Z Has data issue: false hasContentIssue false
  • English
  • Français

Sustainability of a program to reduce unnecessary urethral catheter use at a Veterans Affairs hospital

Published online by Cambridge University Press:  01 February 2021

Karen E. Fowler Open the ORCID record for Karen E. Fowler [Opens in a new window] ,
Sarah L. Krein ,
David Ratz ,
Debbie Zawol  and
Sanjay Saint
Karen E. Fowler*
Affiliation:
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Sarah L. Krein
Affiliation:
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
David Ratz
Affiliation:
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Debbie Zawol
Affiliation:
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan
*
Author for correspondence: Karen E. Fowler, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We assessed the long-term sustainability of a quality improvement intervention to reduce urethral catheter use at a Veterans Affairs (VA) hospital. During the 8 years after the initial intervention, point-prevalence surveillance showed that urethral catheter use continued to decrease (OR, 0.91; 95% CI, 0.86–0.97; P = .003) and that appropriateness of catheter use remained unchanged.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 12 , December 2021 , pp. 1497 - 1499
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Miller, BL, Krein, SL, Fowler, KE, et al. A multimodal intervention to reduce urinary catheter use and associated infection at a Veterans Affairs Medical Center. Infect Control Hosp Epidemiol 2013;34:631–633.CrossRefGoogle Scholar
Meddings, J, Rogers, MA, Krein, SL, Fakih, MG, Olmsted, RN, Saint, S. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf 2014;23:277–289.CrossRefGoogle ScholarPubMed
Shediac-Rizkallah, MC, Bone, LR. Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy. Health Educ Res 1998;13:87–108.CrossRefGoogle ScholarPubMed
Scheirer, MA. Is sustainability possible? A review and commentary on empirical studies of program sustainability. Am J Eval 2005;26:320–347.CrossRefGoogle Scholar
Regagnin, DA, da Silva Alves, DS, Maria Cavalheiro, A, et al. Sustainability of a program for continuous reduction of catheter-associated urinary tract infection. Am J Infect Control 2016;44:642–646.CrossRefGoogle ScholarPubMed
Gupta, SS, Irukulla, PK, Shenoy, MA, Nyemba, V, Yacoub, D, Kupfer, Y. Successful strategy to decrease indwelling catheter utilization rates in an academic medical intensive care unit. Am J Infect Control 2017;45:1349–1355.CrossRefGoogle Scholar
Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA, Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010;31:319–326.CrossRefGoogle ScholarPubMed
Huang, WC, Wann, SR, Lin, SL, et al. Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters. Infect Control Hosp Epidemiol 2004;25:974–978.CrossRefGoogle ScholarPubMed
Centers for Medicare & Medicaid Services. Medicare program: changes to the hospital inpatient prospective payment systems and fiscal year 2009 rates. Final rules. Fed Register 2008;73:48433–49084.Google Scholar
Saint, S, Greene, MT, Krein, SL, et al. A program to prevent catheter-associated urinary tract infection in acute care. N Engl J Med 2016;374:2111–2119.CrossRefGoogle ScholarPubMed