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Proposal to decrease incidence, morbidity, and associated healthcare costs regarding difficult and traumatic urethral

Jordan Sarver1, Remington Farley1, Shane Daugherty1

  • 1Department of Urology, Detroit Medical Center, Detroit, Michigan, USA.

The Canadian Journal of Urology
|August 26, 2023
PubMed
Summary

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Many nurses encounter difficult or traumatic urethral catheterizations, leading to patient harm and increased costs. Implementing protocols and education may improve patient care and reduce healthcare burdens.

Area of Science:

  • Urology
  • Medical Education
  • Patient Safety

Background:

  • Difficult and traumatic urethral catheterization is a frequent cause for urologic consultation.
  • Catheter insertion and management are routine procedures in hospital settings.

Purpose of the Study:

  • To assess the prevalence of difficult or traumatic urethral catheterization experiences among nursing staff.
  • To highlight the potential impact of protocols and education on patient care and healthcare costs.

Main Methods:

  • A four-question survey was administered to nursing staff across three hospitals within a single institution.
  • Data was collected from 41 nursing staff responses.

Main Results:

  • 44% of nursing staff reported previous experience with traumatic catheter insertion.
Keywords:
foleyprotocoltraumatic catheterizationurethral stricture

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  • 90% of responders had been involved in cases of difficult catheterization.
  • Conclusions:

    • The high incidence of difficult and traumatic catheterizations among nursing staff underscores a significant patient safety concern.
    • Developing and implementing standardized protocols and educational programs could mitigate patient morbidity and reduce associated healthcare expenses.