Enhancing Quality and Safety.docx - Running head ENHANCING QUALITY AND SAFETY 1 Enhancing Quality and Safety Ashley Heck Capella University Improving

Enhancing Quality and Safety.docx - Running head ENHANCING...

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Running head: ENHANCING QUALITY AND SAFETY 1 Enhancing Quality and Safety Ashley Heck Capella University Improving Quality of Care and Patient Safety Enhancing Quality and Safety October, 2019
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ENHANCING QUALITY AND SAFETY 2 Enhancing Quality and Safety Healthcare-associated infections (HAI) have become an increasing issue within hospitals, one of the most common HAI being a catheter-acquired urinary tract infection (CAUTI) (Office of Disease Prevention and Health Promotion (ODPHP), n.d.). “ For an infection to be classified as a CAUTI under guidelines published by the US Centers for Disease Control and Prevention (CDC), a patient must have: (a) had an indwelling urinary catheter for more than two days by the date of event (with ‘day one’ being the day of catheter insertion); (b) one sign or symptom including fever, suprapubic tenderness, costovertebral angle tenderness, urinary frequency or urgency or dysuria; and (c) urine culture with more than 10 5 CFU/ mL of one bacterial species (non-bacterial pathogens have been excluded since 2015)” (Letica-Kriegel et al, 2019, p. 1). In the nursing profession, our number one priority is our patients. We want to keep our patients safe and provide quality care. In doing so, we need to recognize HAIs and try to reduce the occurrences. Factors Leading to Catheter-Acquired Urinary Tract Infections “So, what is the scope of the CAUTI problem? Large. In fact, around 560,000 patients develop UTIs per year from hospital stays, and of those, three-quarters are associated with urinary catheters. However, nearly half of those patients with a urinary catheter do not have a valid indication for placement. For those with catheters, the risk of bacteriuria increases three to seven percent every day the catheter remains in place” (AHRQ 1 , 2015, p. 4).
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ENHANCING QUALITY AND SAFETY 3 According to AHRQ 1 (2015, p. 5), “In 2009, the CDC’s Healthcare Infection Control Practices Advisory Committee, or HICPAC, described appropriate indications for catheter use [in the ICU]: Use 1: Patient has acute urinary retention or obstruction, Use 2: Critically ill patient needs precise, accurate measurement of urinary output, Use 3: Assistance in healing incontinent patients with Stage III or IV open sacral or perineal wounds, Use 4: Patient requires prolonged immobilization (e.g., potentially unstable thoracic or lumbar spine), Use 5: Improved comfort for end-of-life care if needed ”.
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