1 / 19

CAUTI Reduction

CAUTI Reduction. Legacy Good Samaritan Medical Center Presented by Jim Marangoni RN SCNR Thank You Art Ashby and Cindy Evans. Objectives. Deciding on the issues R oles in an infection reduction project UTI prevention bundle Describe Process and Outcome M onitoring

whitby
Download Presentation

CAUTI Reduction

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CAUTI Reduction Legacy Good Samaritan Medical Center Presented by Jim Marangoni RN SCNR Thank You Art Ashby and Cindy Evans

  2. Objectives • Deciding on the issues • Roles in an infection reduction project • UTI prevention bundle • Describe Process and Outcome Monitoring • Integrate NSQIP Data into UTI reduction efforts: Realtime, Risk Adjusted, Regional

  3. Legacy Good Samaritan Medical Center • Legacy Health – 6 hospitals, regional referral laboratory, research programs, clinics, hospice program and IP rehabilitation center • Urban hospital in NW Portland: 230 Staffed beds, Average Census 130-170 patients • NSQIP since Sept 2008 • Multispecialty with OHS

  4. Oregon NSQIP Consortium

  5. CAUTI ReductionProduct Conversion to Silver Hydrogel Coated Urinary Catheters Catheter Associated - Nosocomial Urinary Tract Infections April - June 2005 compared to April - June 2006 Rates per 1000 Patient Days Projected Net Cost Avoidance: $115,700 based on CAUTIs prevented and projected increased cost of products

  6. CAUTI Rates 2006-2008: Kern CCUper 1000 device days

  7. Overall* Urinary Tract Infections Observed Rate: 2.06% Expected Rate: 1.53% O/E Ratio: 1.35 Status: As Expected * Includes General and Vascular Surgery Cases

  8. First Step – Collaborating Chief Nursing Officer and Quality Improvement Specialist Legacy Initiative to Focus on Infection Prevention Led to Development of Infection Prevention Bundles CAUTI Reduction Strategy

  9. Foley CatheterBest Practice Bundle • Sterile technique for insertion • Always keep drainage bag below level of the bladder • Empty bag before transport • Prevent dependent loops in tubing • Secure catheter to decrease movement of foley • Pericare daily using soap and water with daily bath • Do not allow the bag to overfill • Do not allow bag to touch floor

  10. EPIC Documentation Flowsheet

  11. CAUTI Prevention Process • Best Practices Literature Review • CAUTI Prevention Bundle Development • Educating staff who come into contact with patients with catheters, from placement to transporting patients • Monitoring Compliance with CAUTI Bundle • Process Monitoring Rounds by CNO and ICP • Provide Feedback Regarding Compliance and CAUTI data to staff • Interactive Case Reviews with Nursing Staff

  12. Bundle Education

  13. 71% Reduction in UTI Cases CAUTI Reduction April 2008 – March 2010

  14. Symptomatic CAUTI Case CountsJune 2010 – November 2011

  15. Quarterly UTI Realtime NSQIP

  16. Monthly UTI NSQIP

  17. Overall* Urinary Tract Infections Observed Rate: 0.82% Pred. Obs. Rate: 0.93% Expected Rate: 1.04% Odds Ratio: 0.89 Status: Non-Outlier * Includes General and Vascular Surgery Cases

  18. Conclusions The Bundles approach works Leadership involvement is essential Education, Education and Re-education is required Surveillance includes process AND outcomes monitoring and feedback to the staff Involving care staff in case analysis leads to discovery

  19. Questions?

More Related