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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - reduction
Understand the CUSP framework for initiating culture change
Apply culture change theory to urinary … Slide 8
Case
Image: Diagram showing the causes of urinary catheter harm. … Aims
Understand the CUSP framework for initiating culture change
Apply culture change theory to urinary … Insertion and Maintenance
Technique
Competency
Removal
Process
Structure
Image: Urinary … Slide 41
Execute – Structure
Images: Photo a urinary catheter with a red circle and a line through
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - how to apply the Situation, Background, Assessment
Input, and Request (SBAR) process for suspected urinary … • A UTI is an infection in any part of your urinary system. … • Most infections involve the lower part of the urinary tract—the bladder and the urethra. … • The key symptoms of urinary tract infections are:
— Dysuria or acute pain when urinating
— Fever … Tract Infections
There are at least three common myths about urinary tract infections:
1.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
December 01, 2017 - And infections due to devices, such as urinary catheters or vascular catheters, are especially common … Focusing on urinary tract catheter-associated infection, we know that UTI is a common cause of hospital … imparted infection; most of these infections are due to urinary catheters. … And we were, frankly, not that surprised by the discomfort and pain associated with urinary catheter; … Focusing on the technical, how can we disrupt the life cycle of a urinary catheter?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - And infections due to devices, such as urinary catheters or vascular catheters, are especially common … Focusing on urinary tract catheter-associated infection, we know that UTI is a common cause of hospital … imparted infection; most of these infections are due to urinary catheters. … And we were, frankly, not that surprised by the discomfort and pain associated with urinary catheter; … Focusing on the technical, how can we disrupt the life cycle of a urinary catheter?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - Pocket Card is a tool to help frontline and clinical long-term care staff identify catheter-associated urinary … References
Adapted from the Centers for Disease Control and Prevention, Urinary Tract Infection (UTI … Slide 2: Pocket card side 1
Catheter-Associated Urinary Tract Infection
Criteria for defining CAUTI … microorganisms, at least 1 of which is bacteria of 100 or more colonies (≥10 2 CFU/ml)
If indwelling urinary
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - In urinary tract infections, we no longer can prescribe any oral agent with confidence, as drug resistant … This may explain why the newest bacterial resistance gene – one that makes urinary tract pathogens resistant … culture ordered because of change in urine appearance
Nonspecific symptoms or signs not referable to urinary … catheter
New or worsening:
Urgency
Frequency
Flank pain
Gross hematuria
Urinary incontinence … onset burning urination (dysuria)
New or worsening:
Urgency
Frequency
Flank pain
Gross hematuria
Urinary
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www.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - addressing—
Reduction of central line-associated bloodstream infections and catheter-associated urinary … recovery and reduce complications, including reduction in surgical site infections and catheter-associated urinary … CUSP reduced catheter-associated urinary tract infection rates by
30 percent in more than 700 hospital … CUSP reduced catheter-associated urinary tract infection rates by
54 percent in more than 400 nursing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
January 01, 2015 - :
3% to 8% per day of urinary catheterization
~100% at 30 days
Duration of catheterization = biggest … Prevent Catheter Replacement
Why use Urinary Catheters Perioperatively? … Patient has acute urinary retention or obstruction
Need for accurate measurements of urinary output … incontinence,
need to intraoperative monitoring of urinary output. … Urinary Catheterization for Urogenital Surgery
26
Q1—Using a urinary catheter vs. not using a urinary
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
October 01, 2016 - , our facility has decided to modify its protocol around urinalyses to optimize
antibiotic use for urinary … We will use a research-based and effective
Toolkit, the Suspected Urinary Tract Infection (UTI) Situation … Antimicrobial treatments do not affect the prevalence of bacteriuria, the frequency of
symptomatic urinary … bacteriuria applies to
a positive result from any routinely collected culture without corresponding urinary … Potentially inappropriate treatment of urinary tract infections in
two Rhode Island nursing homes.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - resources to reduce central line-associated bloodstream
infection (CLABSI) and catheter-associated urinary … – Note, the CAUTI modules have two additional stages that are
discussed in depth, alternatives to urinary … o Indwelling Urinary Catheters Indications – avoiding placement and determining
appropriateness
o … Alternative to Indwelling Urinary Catheters – review when alternatives to
indwelling urinary catheters … are appropriate in the ICU setting
o Indwelling Urinary Catheter Insertion Bundle – ensuring aseptic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - An indwelling urinary catheter was inserted in OR. Ms. C was transferred to ICU post-op. … The indwelling urinary catheter is still in place. Ms. … Does the physician know the proper indwelling urinary catheter indications in the ICU? … C and her son know the risks associated with an indwelling urinary catheter? … FAQs about Catheter-Associated Urinary Tract Infection.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Postoperative Catheter-Associated Urinary Tract Infection
Adult surgery patients age 18 and over with … postoperative catheter-associated urinary tract infection, by sex, 2009-2012
Year
Total … Importance: The urinary tract is a common site of healthcare-associated infections (HAIs) and an indicator … Urinary catheter use and specific comorbid conditions can increase the risk of developing a urinary tract
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
December 01, 2017 - Brief, Huddle, Two-challenge Rule
Slide 13
CAUTI Example
Area of Harm: Catheter Associated Urinary … The ED physician is a family friend of the patient’s daughter, and orders a urinary catheter after the … During the transport and test, the care technician places the urinary catheter collection bag on top … admitted, and 2 days later a urine specimen is collected and a culture shows the patients has an E. coli urinary … National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary
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www.ahrq.gov/news/newsletters/e-newsletter/935.html
October 01, 2024 - Register Now for Nov. 14 Webinar on Implementing Urinary Incontinence Management in Primary Care . … times greater odds of burnout. ( Nursing Outlook ) Register Now for Nov. 14 Webinar on Implementing Urinary … ET will explore real-world case studies on implementing urinary incontinence management. … The webinar from AHRQ’s EvidenceNOW: Managing Urinary Incontinence initiative will highlight how two … grantees implemented nonsurgical urinary incontinence interventions within primary care settings, focusing
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
December 01, 2017 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections
Webinar Transcript
On … We talk about urinary retention and urinary flow obstruction issues. … While it may appear to be more convenient, the risk associated with a catheter acquired urinary tract … Think, for a moment, when, where, and how do nurses learn to place indwelling urinary catheters, and … In conclusion, I'd like you to think about the fact that in indwelling urinary catheter, is almost never
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
November 01, 2015 - No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections
Webinar Transcript
On … We talk about urinary retention and urinary flow obstruction issues. … While it may appear to be more convenient, the risk associated with a catheter acquired urinary tract … Think, for a moment, when, where, and how do nurses learn to place indwelling urinary catheters, and … In conclusion, I'd like you to think about the fact that in indwelling urinary catheter, is almost never
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Hospitals
Ranking at UMHS
Urinary Tract Infections: #1
Pneumonia: #2
Skin and Soft Tissue Infections … not reliable in the following cases: pregnancy, prior to urologic procedures, patients with complex urinary … anatomy (i.e., nephrostomy tubes, urinary tract stents, h/o urinary diversion surgery in the past, or … Image: Flowchart showing criteria for whether a patient should be evaluated for a urinary tract infection … Slide 40
Empiric Therapy Based on Classification of Urinary Tract Infection
Image: Chart showing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Stewardship
We need other groups to assume leadership roles in stewardship:
Hospitalists- pneumonia, urinary … Hospitals
Ranking at UMHS
Urinary Tract Infections #1
Pneumonia #2
Skin and Soft Tissue … anatomy
(i.e., nephrostomy tubes, urinary tract stents, h/o urinary diversion surgery in the past … SHOULD THIS PATIENT BE EVALUATED FOR A URINARY TRACT INFECTION*? … <60 mL/min)
Ciprofloxacin x 3 days
Cephalexin x 7 days
COMPLICATED
LOWER TRACT UTI
Male, urinary
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014)
Webinar Transcript … So let's go back, and let's look at Stacy, and let's look at urinary catheters. … So now let's take the urinary catheter. Do most people believe it causes harm? … they really believe in the fact that having a urinary catheter can cause harm? … Those are all conditions you have to watch urinary output.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
October 01, 2016 - how to apply the Situation, Background, Assessment Input, and Request (SBAR) process for suspected urinary … session is to review the signs and symptoms of suspected urinary tract infections or UTIs. … A UTI is an infection in any part of your urinary system. … Most infections involve the lower part of the urinary tract—the bladder and the urethra. … Common Myths About Urinary Tract Infections
There are at least three common myths about urinary tract