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Catheter-associated urinary tract infections (CAUTI) are a significant concern. This project implemented an evidence-based care bundle to standardize catheter insertion and maintenance, aiming to reduce CAUTI rates in NHS Tayside.

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Area of Science:

  • Healthcare Quality Improvement
  • Infection Prevention and Control
  • Patient Safety

Background:

  • Indwelling urinary catheters are prevalent in NHS Scotland, with high rates of associated urinary tract infections (UTIs).
  • Catheter-associated urinary tract infections (CAUTI) were identified as a priority for reduction within the Scottish Patient Safety Programme.
  • Urinary tract infections (UTIs) represent the most common hospital-acquired infection (HAI) in both acute and non-acute settings.

Purpose of the Study:

  • To develop, test, and implement an evidence-based care bundle for urethral urinary catheter insertion and maintenance.
  • To standardize care delivery processes for indwelling urinary catheters.
  • To reduce the incidence of catheter-associated urinary tract infections (CAUTI) in patients.

Main Methods:

  • Development and testing of an evidence-based bundle of care for catheter insertion and maintenance.
  • Implementation of standardized data collection tools and reporting mechanisms.
  • Utilizing a national CAUTI definition for data capture and progress monitoring.

Main Results:

  • The project successfully developed and introduced a care bundle to standardize catheter care.
  • Data collection and reporting mechanisms were established to monitor CAUTI rates.
  • The initiative aimed to achieve a 30% reduction in CAUTI by December 2015.

Conclusions:

  • Standardizing the insertion and maintenance of indwelling urinary catheters through an evidence-based bundle is crucial for reducing CAUTI.
  • The implementation of a quality improvement project with robust data monitoring can drive improvements in patient safety.
  • This initiative supports national efforts to reduce healthcare-associated infections.