The Influence of an Electronic Medical Record Embedded Best Practice Alert on Rate of Hospital Acquired Catheter Associated Urinary Tract Infections: Do Best Practice Alerts Reduce CAUTIs?

作者: Colette Gnade , Chaorong Wu , Patrick Ten Eyck , Laurie Leder , Douglas Storm

DOI: 10.1016/J.UROLOGY.2020.02.028

关键词:

摘要: Objective To understand if an electronic medical record embedded best practice alert decreased our hospital's Catheter-associated urinary tract infections (CAUTIs) and catheter utilization (CU) rates. Methods Data from inpatient prospective CAUTI database, spanning 2011 to 2016, were utilized for analysis with the Best Practice Alert (BPA) starting in 2013. Using generalized linear models we compared CU rates between pre- post-BPA periods different patient subpopulations. Results We identified no decrease rate effect on as a result of BPA. However, there was increase adult intensive care unit (ICU) population 0.2 1.8 CAUTIs per 1,000 days (P Conclusion are exceedingly low, or without use Such appears have limited success lowering populations where is already low may not always lead improvement be some that more prone development secondary possible intrinsic co-morbid conditions.

参考文章(24)
Richard A. Garibaldi, Barbara R. Mooney, Beverly J. Epstein, Michael R. Britt, An evaluation of daily bacteriologic monitoring to identify preventable episodes of catheter-associated urinary tract infection. Infection Control and Hospital Epidemiology. ,vol. 3, pp. 466- 470 ,(1982) , 10.1017/S0195941700056599
R. Monina Klevens, Jonathan R. Edwards, Mary L. Andrus, Kelly D. Peterson, Margaret A. Dudeck, Teresa C. Horan, , Dialysis Surveillance Report: National Healthcare Safety Network (NHSN)-data summary for 2006. Seminars in Dialysis. ,vol. 21, pp. 24- 28 ,(2007) , 10.1111/J.1525-139X.2007.00379.X
Prasoon Jain, Overuse of the Indwelling Urinary Tract Catheter in Hospitalized Medical Patients Archives of Internal Medicine. ,vol. 155, pp. 1425- 1429 ,(1995) , 10.1001/ARCHINTE.1995.00430130115012
Rajika L. Munasinghe, Habeeb Yazdani, Mohamed Siddique, Wasif Hafeez, Appropriateness of use of indwelling urinary catheters in patients admitted to the medical service. Infection Control and Hospital Epidemiology. ,vol. 22, pp. 647- 649 ,(2001) , 10.1086/501837
Radha Ramana Murthy Gokula, John A Hickner, Mindy A Smith, Inappropriate use of urinary catheters in elderly patients at a midwestern community teaching hospital American Journal of Infection Control. ,vol. 32, pp. 196- 199 ,(2004) , 10.1016/J.AJIC.2003.08.007
Jonathan R. Edwards, Kelly D. Peterson, Yi Mu, Shailendra Banerjee, Katherine Allen-Bridson, Gloria Morrell, Margaret A. Dudeck, Daniel A. Pollock, Teresa C. Horan, National Healthcare Safety Network (NHSN) report: Data summary for 2006 through 2008, issued December 2009 American Journal of Infection Control. ,vol. 37, pp. 783- 805 ,(2008) , 10.1016/J.AJIC.2009.10.001
Sanjay Saint, Benjamin A. Lipsky, Susan Dorr Goold, Indwelling urinary catheters: a one-point restraint? Annals of Internal Medicine. ,vol. 137, pp. 125- 127 ,(2002) , 10.7326/0003-4819-137-2-200207160-00012
Michael J. Richards, Jonathan R. Edwards, David H. Culver, Robert P. Gaynes, , Nosocomial infections in combined medical-surgical intensive care units in The United States Infection Control and Hospital Epidemiology. ,vol. 21, pp. 510- 515 ,(2000) , 10.1086/501795
Jeffrey W. Weinstein, Dorothy Mazon, Elizabeth Pantelick, Patricia Reagan-Cirincione, Louise M. Dembry, Walter J. Hierholzer, A decade of prevalence surveys in a tertiary-care center: trends in nosocomial infection rates, device utilization, and patient acuity. Infection Control and Hospital Epidemiology. ,vol. 20, pp. 543- 548 ,(1999) , 10.1086/501675