Catheter Associated Urinary Tract Infections (CAUTI) are the most common healthcare –associated infections. They account for 13,000 deaths each year, and are becoming more dangerous as antibiotic resistance increases. Starting in 2013, information technology and clinicians were working together to reduce CAUTI through hospital policy, with added EMR documentation. Manual assessment of daily need for catheters began in 2014. By 2016 we had created an order set for catheter, including indication for need, and order for continuation of catheter after 72 hour removal. EMR generated automatic order for nurses to discontinue urinary catheter 72 hours after insertion. With emphasis on catheter re-assessment and prompt removal, the EMR assisted clinicians with reminders, orders, and now assists with stewardship of orders. From 2015 to present we have reduced catheter days by 191 per month. Our CAUTI rate dropped from 1.34 to .81 per 1,000 catheter days.
State the reason CAUTI is important to address
List the tools VCU used to bring awareness of risk to providers
Explain next steps that VCU is undertaking to continue this work