N.B. — This post is one in a series of ten, based on Becker’s Infection Control & Clinical Quality article 10 top patient safety issues for 2017 by Heather Punke & Brian Zimmerman and published on January 18, 2017 (http://patientsafetymovement.org/challenges-solutions/actionable-patient-safety-solutions-apss/).
“Catheter-associated urinary tract infections [CAUTI]. A report on the CDC’s Winnable Battles initiative released Dec. 5 showed strong progress in the reduction of hospital-associated infections, with one exception: catheter-associated urinary tract infections. Although previous studies suggest as many as 69 percent of CAUTIs are preventable, the infection continues to prove problematic for hospitals.
CDC began Winnable Battles in 2010 and set ambitious goals to be reached by 2015. The results show targets of 60 percent reductions in both central line-associated bloodstream infections and invasive methicillin-resistant Staphylococcus aureus infections are on track to be achieved. Additionally, achieving the target of a 30 percent reduction in surgical site infections looks to be feasible. However, the target of reducing CAUTIs in acute care hospitals by 30 percent was not reached. While CDC data did show a 24 percent decrease of CAUTIs in hospital wards, hospital intensive care units saw a 16 percent increase in CAUTI occurrence.
However, a recently published study examining the efficacy of a CAUTI reduction collaborative effort supported by the Agency for Healthcare Research [& Quality, AHRQ] shows promise. The initiative provided Quality Comprehensive Unit-based Safety Program toolkits for CAUTI reduction to physicians and nurses across 603 hospitals. Program adherence was associated with a reduction of approximately one-third for CAUTIs in general wards …”