Beyond Infection: Device Utilization Ratio as a Performance Measure for Urinary Catheter Harm.

摘要: Catheter-associated urinary tract infection (CAUTI) is considered a reasonably preventable event in the hospital setting, and it has been included US Department of Health Human Services National Action Plan to Prevent Healthcare-Associated Infections. While multiple definitions for measuring CAUTI exist, each important limitations, understanding these limitations both clinical practice policy decisions. The Healthcare Safety Network (NHSN) surveillance definition, most frequently used outcome measure prevention efforts, limited correlation does not necessarily reflect noninfectious harms related catheter. We advocate use device utilization ratio (DUR) as an additional performance potential catheter harm. DUR patient-centered objective currently captured part NHSN reporting. Furthermore, data are readily obtainable from electronic medical records. also provides more direct reflection improvement efforts focused on reducing inappropriate use.