Are physicians aware of which of their patients have indwelling urinary catheters?

摘要: Abstract PURPOSE: Although infections associated with indwelling urinary catheters are common, costly, and morbid, the use of these is unnecessary in more than one-third patients. We sought to assess whether attending physicians, medical residents, students aware if their hospitalized patients have an catheter, physician awareness appropriate catheters. METHODS: The physicians responsible for admitted services at four university-affiliated hospitals were given a list on service. For each patient, provider was asked: "As yesterday afternoon, did this patient urethral catheter?" Respondents' answers compared results examining patient. RESULTS: Among 288 56 teams, 256 (89%) completed survey. Of 469 patients, 117 (25%) had catheter. There total 319 provider-patient observations among Overall, providers unaware catheterization 88 (28%) observations. Unawareness rates by level training 21% students, 22% interns, 27% 38% ( P = 0.06). Catheter inappropriate 36 (31%) Providers catheter 44 (41%) 108 who inappropriately catheterized. Catheterization likely be respondents (odds ratio=3.7; 95% confidence interval, 2.1 6.7, CONCLUSION: Physicians commonly that Inappropriate often "forgotten" ones. System-wide interventions aimed discontinuing seem warranted.