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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - Slide 1
Leveraging Cultural Change to Reduce Urinary Catheter Use
1
Linda Greene, RN,MPS,CIC
Manager … Catheters
9
Seat Belt Yes No
Believe in it x
Built in safety alerts x
Consequences x
Urinary … ED)
19
Connect the Dots to the Urinary Catheter
Is management engaged? … contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - Syndrome-specific topics (e.g., urinary tract infections,
respiratory infections) that comprise the … prescribed, the number of broad-spectrum agents used, or the number of residents given an antibiotic
for a urinary … tract infection without a concomitant urine culture being ordered or without a record that
the prescriber … The Antibiotic Stewardship Team should periodically review antibiotic use data (and associated costs … Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term
Care
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/apic-cost-calculator.html
April 01, 2022 - Calculator
The Association for Professionals in Infection Control and Epidemiology (APIC) healthcare-associated … infections (HAIs) Calculator Tools help define the costs associated with HAI, knowing that this can
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - bloodstream infection (CLABSI) and the catheter-associated urinary
tract infection (CAUTI) projects … periodic processes for staff training and retraining in appropriate and inappropriate
indications for urinary … rounding processes are already established that could
accommodate review of patients for presence of urinary … Urinary Tract Infections in Hospital Units: Implementation Guide.”
10. … Urinary Tract Infection (CAUTI), project number
HHSA290201000025I/HHSA29032001T, Task Order #1.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - bloodstream infection (CLABSI) and the catheter-associated urinary
tract infection (CAUTI) projects … periodic processes for staff training and retraining in appropriate and inappropriate
indications for urinary … rounding processes are already established that could
accommodate review of patients for presence of urinary … Urinary Tract Infections in Hospital Units: Implementation Guide.”
10. … Urinary Tract Infection (CAUTI), project number
HHSA290201000025I/HHSA29032001T, Task Order #1.”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Also of interest on
this slide is the finding that the respiratory tract
and urinary tract were the … Thus, for most cases of
community-acquired pneumonia, intra-abdominal
infections, and urinary tract … addition, the majority of community-acquired
pneumonia and community-acquired intra-
abdominal and urinary … before antibiotics were started and are not
growing organisms, there is probably not
bacteremia or a urinary … tract infection.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-facilitator-guide.pdf
November 01, 2019 - is discussed in the “Best Practices in the Diagnosis
and Treatment of Diverticulitis and Biliary Tract … However, except for pseudomonal urinary tract
infections, aminoglycosides should not be used as
monotherapy … It is associated with nephrotoxicity in
the absence of clinical benefit. … Third, Enterococcus bacteremia can also be the
result of an infected source, commonly a urinary
tract … infection, prostatitis, or a biliary tract
infection.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
September 01, 2022 - Associated Tools
• The Timeline for Implementing Antibiotic Stewardship in Ambulatory Care provides … Associated Tools
• The Commitment Poster declares that the practice and individual healthcare providers … Each syndrome is associated with a presentation and a
facilitator guide. … Other topics are cellulitis
and skin and soft tissue infections, asymptomatic bacteriuria and urinary … tract infections, and
assessment and management of antibiotic allergies.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
December 01, 2017 - To educate health care workers and patients and families about the appropriate management of urinary … catheters, including indications for the placement and continued use of urinary catheters
To prevent … To promptly remove urinary catheters that are no longer needed:
What role might patients and families … contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - ☐ Urinary tract infection
☐ Asymptomatic bacteriuria
☐ Community-acquired pneumonia
☐ Healthcare-acquired … pneumonia
☐ Ventilator-associated pneumonia
☐ Intra-abdominal infections
☐ Skin and soft tissue infection … ☐ Urinary tract infection
☐ Community-acquired pneumonia
☐ Healthcare-acquired pneumonia
☐ Ventilator-associated … ☐ Yes
☐ No
➕Are activities conducted by the ASP to target antibiotics commonly associated with C. … ☐ Yes: Respiratory virus
☐ Yes: Respiratory bacterial
☐ Yes: Cerebrospinal fluid
☐ Legionella urinary
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - for the four infections for which antibiotics are most frequently prescribed in nursing homes: (1) urinary … tract infections (UTIs), (2) lower respiratory tract infections, (3) skin and soft tissue infections
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/092-evidence-decolonization-one-pager.docx
April 01, 2025 - · Results: SSIs due to MRSA are associated with even higher mortality, longer lengths of stay, and … · MRSA SSI prevention is associated with decreased length of stay, mortality, cost, and risk of readmission … Infect Control Hosp Epidemiol, 20202
Antimicrobial-Resistant Pathogens Associated With Adult Healthcare-Associated … bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated … Antimicrobial-resistant pathogens associated with adult healthcare-associated infections: summary of
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www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated … AHRQ Toolkit for Preventing Central Line-Associated Bloodstream Infections (CLABSI) and Catheter-Associated … Urinary Tract infections (CAUTI) in Intensive Care Units (ICUs) The customizable education toolkit includes … the toolkit to prevent complications such as surgical site infections, venous thromboembolism, and urinary … tract infection and to improve perioperative safety culture.
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www.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - The Suspected UTI SBAR toolkit provides guidance and tools for improving the use of antibiotics for urinary … tract infections (UTIs) in nursing home residents based on the Situation, Background, Assessment, and … Residents and their family members may not know how antibiotics should be used or understand the risks associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafety.pptx
March 01, 2009 - urinary tract infections resulting in 13,000 deaths a year6
Nearly 100,000 patients die from health … care-associated infections (HAIs) each year, and the cost of HAIs is $28 to $33 billion per year7
Estimated … 30,000 to 62,000 deaths from central line-associated blood stream infections per year8
4
4
How … The Direct Medical Costs of Healthcare-Associated Infections in U.S. … Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - I’m going to talk in general terms about catheter associated urinary tract infection and how to prevent … associated infections. … That’s our basic approach to preventing catheter-associated urinary tract infection especially focusing … urinary tract infection. … urinary tract infection the answer is no.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
April 01, 2022 - Device utilization rate and standardized utilization ratio (SUR)
ICU Action Plan
Identify healthcare-associated … strengths and weaknesses identified by unit
Team culture
CLABSI/CAUTI (indwelling central line and urinary … Date: 4/29 – 5/5
(Information posted 5/7)
Days since last central line-associated bloodstream infection … 257
Days since last catheter-associated urinary tract infection 86
Days since last ventilator-associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - tract
infection
1 Cellulitis 10 X X X X X X X X 2 X X 1 1 1
Resident C 82 1 Anemia 1 1 COPD 4 … Risk Factors Associated With Hospital and Emergency Department Visits
Risk factors known to be associated … For example, if discharge diagnoses pneumonia and urinary
tract infection are both noted as ED discharge … tract infection
• Sepsis or fever or infection
• Skin ulcers or cellulitis
• Dehydration or metabolic … Preventable discharge
diagnoses include congestive heart failure, pneumonia, urinary tract infection,
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/data-definitions.html
March 01, 2017 - Catheter Days
Every day a resident has an indwelling urinary catheter = one catheter day. … Example:
A facility has seven residents with indwelling urinary catheters for the month of June.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-transcript.doc
April 08, 2014 - And one of them would be urological or surgeries that are close to that urinary tract. … to the urinary tract. … So, the question is triggered: Does the patient have a urinary catheter? … Wound care nurses, we talked about, the pressure associated with the Foley catheter is helping. … So, an infection for that chance is, of course, a catheter-associated urinary tract infection, inappropriate