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According to the study by Rhee, Phelps, Meyer, and Reed (2016), system improvements were made to the electronic health record at University of Texas Southwestern Medical Center. This included an upgrade to prompt the nurse to check with the physician once a patient has had an indwelling catheter for 24 hours and ask if the catheter can be removed. Within the first year of implementation, the rate of CAUTI was reduced by 56.3%. Within three years of implementation, the CAUTI rate was reduced by 81.5% and a savings exceeding $110,000 each year. The advantages of implementing a system wide notification system in the patient’s electronic health record include reducing CAUTI rates by removing urinary catheters within 24-48 hours of insertion when they are no longer indicated, increased savings by the institution by not having to include free treatments to treat the CAUTI, and increased patient satisfaction because patient’s will not have extended hospital stays as a result of an infection. Disadvantages include nurse’s not having time to contact the physician to follow up on removal of the foley catheter, patient’s refusing to have the catheter removed because of convenience, and physician’s not being responsive to the request to remove the catheter. Once the system change is implemented, based on the studies presented, the facility should experience a decrease in CAUTIs which will result in better patient outcomes and cost savings.
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