Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units

J Nurs Care Qual. Apr-Jun 2011;26(2):101-9. doi: 10.1097/NCQ.0b013e3181fb7847.

Abstract

Catheter-associated urinary tract infections account for 40% of all health care-associated infections. An evidence-based, nurse-driven daily checklist for initiation and continuance of urinary catheters was implemented in 5 adult intensive care units. Measures of compliance, provider satisfaction, and clinical outcomes were recorded. Compliance with the checklist was 50 to 100%: catheter-associated urinary tract infections decreased from 2.88 to 1.46 per 1000 catheter days and catheter days decreased in 2 intensive care units.

MeSH terms

  • Checklist / methods*
  • Critical Care / methods
  • Cross Infection / nursing
  • Cross Infection / prevention & control
  • Evidence-Based Nursing / methods*
  • Guideline Adherence / statistics & numerical data
  • Health Care Surveys
  • Humans
  • Infection Control / methods*
  • Medical Staff, Hospital
  • Nurse Practitioners
  • Nursing Staff, Hospital
  • Physician Assistants
  • Retrospective Studies
  • Urinary Catheterization / adverse effects
  • Urinary Catheterization / nursing
  • Urinary Tract Infections / nursing*
  • Urinary Tract Infections / prevention & control*