Intensive care unit rounding checklists to reduce catheter-associated urinary tract infections.

摘要: Objective To assess whether the implementation of an intensive care unit (ICU) rounding checklist reduces number catheter-associated urinary tract infections (CAUTIs). Design Retrospective before-and-after study that took place between March 2013 and February 2017. Setting An academic community hospital 16-bed, mixed surgical, cardiac, medical ICU. Patients Participants were all patients admitted to adult ICU had a diagnosis CAUTI. Intervention Initiation prompts physicians address any use catheters with analysis comparing preintervention period before roll out versus postintervention periods. Results There 19 CAUTIs 9,288 catheter days (2.04 per 1,000 days). The utilization ratio increased in first year after intervention (0.67 vs 0.60; P = .0079), then decreased second (0.53 .0992) third .0224). rate CAUTI (ie, days) from 4.62 was implemented 2.12 (P .2104). 0.45 .0275) 0.96 .0532). Conclusions Our suggests daily is associated decrease rates patients. Incorporating feasible