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The first non-research article chosen is titled ‘Innovation in Patient Safety and Quality at the National Level: Mayo Clinic Reduces Catheter-Associated Urinary Tract Infections Through a Bundled 6-C Approach.’ This study was a quality improvement study to create a bundle of interventions to collectively reduce or eliminate CAUTI. The design of the study was application of the 6C bundle as follows; one 213 bed ICU, 2015 expanded application to 8 ICU’s (adult and pediatric) and 38 general care units. CAUTI rates decreased by 70%, from 2.0/1,000 to 0.6/1,000 catheter days. Implementation of this bundle was successful in decreasing CAUTI on the pilot unit. The total CAUTI in 2015 was zero on ICU pilot unit since 2014. The CAUTI continued to be reduced in comparison to the hospital as a unit through 2016 (Sampathkumar, 2016). The bundle can be easily adapted for use at any facility.The second non-research article is titled ‘Chasing Zero: A Nurse Driven Process for Catheter-Associated Urinary Tract Infection Reduction in a Community Hospital.” This article looks at knowledge levels of urinary catheters in relation to the need for the catheter to remain in place. It adapts a ‘Question the Foley’ model to assess the need for continued use. The process is designed to have one nurse assigned on the unit to review the order, need for catheter and review of EMR to assure documentation has been completed. Assessments are made to address the need for education of the staff and physicians, it is the responsibility of thelead nurse to determine need for education and communicate this to the Nurse Manager (Quinn, 2015). ‘With collaboration and support form nursing leadership, the goals for patient
safety by reducing hospital-acquired CAUTI can become a reality in a short period of time (Quinn, 2015).The most significant research showing improvement in reduction of CAUTI and unnecessary use of urinary catheters is the adoption of a multifaceted bundle. The bundle This process makes sense to create an automatic response to nurses and certified nurse assistants to stop and think about the process to maintain asepsis and to prevent opportunity for CAUTI. This process used in conjunction with an educational intervention and certification of aseptic technique, paired with the twice daily bladder washout in patients at high risk for CAUTI could be the solution to reduction and possibly the elimination of CAUTI. Of the researchreviewed not just one change to the process gave one hundred percent results, the best option for significant reduction or elimination of CAUTI is a combination of processes studied to arrive at the most successful process. The recommendation would be implementation of several studies to arrive at the best solution. The initial recommendation for process of evaluation and reduction of CAUTI would be, a bundle to create a streamlined process for both insertion and care of urinary catheters. The bundle would be inclusive of urinary catheter aseptic technique,