Oct 30

Reducing CAUTI infection rates

10/30/14 | Delivering Results, Featured Posts, Newsroom

A catheter-associated urinary tract infection (CAUTI) occurs when germs enter the urinary tract through the urinary catheter and cause infection. CAUTIs have been associated with increased morbidity, mortality, health care costs, and length of stay. The risk of CAUTI can be reduced by ensuring that catheters are used only when needed and removed as soon as possible. The HOUDINI Protocol gives criteria to help ensure nurses use catheters only when appropriate, with each letter in the acronym representing a different reason.

Nurses at MU Health Care began a process improvement project to reduce the CAUTI rate in the adult intensive care units (ICU) at University Hospital by implementing evidence-based practices, including a modified HOUDINI indication protocol, education, and aligning data reporting for urinary catheters.

Our team adjusted the EMR nursing documentation to add indications when a patient was using a urinary catheter. If patients do not meet HOUDINI criteria, the EMR generates a task to recommend catheter discontinuation. Additionally, the physicians receive the same indications in their orders list as a mandatory field.

Catheter Utilization Rates

Along with EMR adjustments, the nurse leaders used surveys, frequent communication, education on the modified HOUDINI criteria, skin care for incontinent patients, regular updates on CAUTI rates and catheter utilization, and a reward system.

University Hospital has seen a 5% drop in catheter utilization rates in the last fiscal year in the ICUs and a 2% drop in catheter utilization rates on the floors (non-ICU beds.) The team is working to roll out the proven protocols across the hospital.

Join Eileen Phillips RN MSN, CIC, Infection Control Professional, at the Cerner Health Conference for her presentation entitled CAUTIon! A Process Improvement for Catheter-Associated Urinary Tract Infection on November 4, 2014 at 1:30 PM.