Implementing a National Program to Reduce Catheter-Associated Urinary Tract Infection: A Quality Improvement Collaboration of State Hospital Associations, Academic Medical Centers, Professional Societies, and Governmental Agencies
Implementing a National Program to Reduce Catheter-Associated Urinary Tract Infection: A Quality Improvement Collaboration of State Hospital Associations, Academic Medical Centers, Professional Societies, and Governmental Agencies
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DOI：
10.1086/673149
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发表时间：
2013-10-01
影响因子：
4.5
通讯作者：
Saint, Sanjay
中科院分区：
文献类型：
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作者：
Fakih, Mohamad G.;George, Christine;Saint, Sanjay
导管相关尿路感染 (CAUTI) 在医疗保健相关感染 (HAI) 中占很大比例。美国卫生与公共服务部发布了一项减少 HAI 的计划，目标是到 2013 年将 CAUTI 减少 25%。密歇根州在减少不必要的导尿管使用和 CAUTI 方面的成功合作是基于不同医院、州医院协会 (SHA) 和学术医疗中心之间的合作关系。汲取密歇根州的经验教训，我们现在正在将这项工作推广到 50 个州。这种全国性的传播利用了不同团体和组织的专业知识，以实现减少导管相关伤害的统一目标。该项目的关键组成部分是（1）集中协调工作并向 SHA 和医院传播信息，（2）根据既定定义和方法收集数据，（3）对预防 CAUTI 的技术实践进行重点指导，（4）强调理解社会适应性方面（一般的、单位范围的问题和 CAUTI 特定的挑战），以及（5）与在相关主题领域拥有专业知识的专业组织和政府机构合作。这项工作将来可能会成为其他大型改进工作的典范，以解决其他医院获得性病症，例如静脉血栓栓塞和跌倒。
Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013. Michigan''s successful collaborative to reduce unnecessary use of urinary catheters and CAUTI was based on a partnership between diverse hospitals, the state hospital association (SHA), and academic medical centers. Taking the lessons learned from Michigan, we are now spreading this work throughout the 50 states. This national spread leverages the expertise of different groups and organizations for the unified goal of reducing catheter-related harm. The key components of the project are (1) centralized coordination of the effort and dissemination of information to SHAs and hospitals, (2) data collection based on established definitions and approaches, (3) focused guidance on the technical practices that will prevent CAUTI, (4) emphasis on understanding the socioadaptive aspects (both the general, unit-wide issues and CAUTI-specific challenges), and (5) partnering with specialty organizations and governmental agencies who have expertise in the relevant subject area. The work may serve in the future as a model for other large improvement efforts to address other hospital-acquired conditions, such as venous thromboembolism and falls.