The cdc 2017b states that some of these aberrant

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US hospitals between 2014 and 2015 (CDC, 2017b). The CDC (2017b) states that some of theseaberrant findings may be related to surveillance protocol changes including yeast exclusion from the measurement criteria (CDC, 2017b). With artifact changes accounted for, the CDC (2018) still estimates a 17.1% decrease in CAUTI rates from 2014 to 2015. While the incidence of CAUTIs in the United States have decreased over the years, most gains are resultant from regular hospital floors and not from more critical-level patient units (CDC, 2018). Lo et al. (2014) reports that ICUs and acute care units have seen little change in their CAUTI rates over the years. Even with the reduction noted in 2015, acute care units accounted for 48.4% of all CAUTIs reported (CDC, 2018). This change demonstrates that present tactics are working to reduce CAUTI throughout the majority of healthcare. Acute care units would also benefit from further education and execution of these programs. The desired outcome for the CAUTI Prevention Quality Improvement Project is to reduce the overall occurrence of CAUTIs among acute care units in the hospital setting.Goals and ObjectivesLong-term goals. The long-term goal of this quality improvement project is to reduce the incidence of CAUTIs in the acute care setting by five percent every year. The long-term goalwill be executed by improving practices related to catheter use and ensuring prompt discontinuation. This goal is guided by recommendations from the US Department of Health andHuman Services (2018b) to reduce CAUTI occurrence by 25% overall from 2015 standards by the year 2020. As of 2016, a six percent reduction in CAUTI incidence has been noted within United States hospitals (CDC, 2018). With notable progress made in the year 2016, further progress appears obtainable.
6CATHETER-ASSOCIATED URINARY TRACT INFECTIONS Short term goals. Short term goals necessary to reach the long-term goal of reducing CAUTI incidence and to improve catheter practices are to focus on indicators for catheter necessity and prompt removal of those which are unnecessary. The US Department of Health and Human Services (2018a) state that by implementing prevention techniques that already exist,HAIs can be reduced up by to 70%. By employing these important techniques, CAUTI prevention can be obtainable.Objectives. One of the largest risk factors for CAUTIs is duration of catheter use (Lo et al., 2014). Therefore, the following objectives to support the minimization of duration include: education and training on indications for indwelling urinary catheter discontinuation, familiarity with nurse-driven protocols, and establishment of a catheter reminder in handoff. Michigan hospitals saw a 53% decrease in CAUTI rates after reminding staff about catheter presence, targeting catheter necessity, and removing unnecessary catheters promptly (Lo et al., 2014). The objective of educating staff is also supported by the Healthy People 2020initiative for improvement of compliance, adoption of practices, and appropriate education and training (US Department of Health and Human Services, 2018a). Assumptions cannot be made that

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