Beyond Infection: Device Utilization Ratio as a Performance Measure for Urinary Catheter Harm.
Beyond Infection: Device Utilization Ratio as a Performance Measure for Urinary Catheter Harm.
复制标题
超越感染：设备利用率是尿导管危害的性能指标。
DOI：
10.1017/ice.2015.287
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发表时间：
2016-03
影响因子：
4.5
通讯作者：
Saint S
中科院分区：
文献类型：
--
作者：
Fakih MG;Gould CV;Trautner BW;Meddings J;Olmsted RN;Krein SL;Saint S
导管相关性尿路感染(CAUTI)在医院环境中被认为是可以合理预防的事件，它已被列入美国卫生与公众服务部预防医疗相关感染的国家行动计划。虽然对CAUTI的测量有多种定义，但每种定义都有重要的局限性，了解这些局限性对临床实践和政策决策都很重要。国家医疗安全网(NHSN)监测定义是CAUTI预防工作中最常用的结果衡量标准，其临床相关性有限，不一定反映与导管相关的非感染性损害。我们提倡使用设备利用率(DUR)作为潜在尿管损害的附加性能指标。DUR是以患者为中心和客观的，目前作为NHSN报告的一部分。此外，这些数据很容易从电子医疗记录中获得。DUR还更直接地反映了致力于减少不适当导尿管使用的改进工作。
Catheter-associated urinary tract infection (CAUTI) is considered a reasonably preventable event in the hospital setting, and it has been included in the US Department of Health and Human Services National Action Plan to Prevent Healthcare-Associated Infections. While multiple definitions for measuring CAUTI exist, each has important limitations, and understanding these limitations is important to both clinical practice and policy decisions. The National Healthcare Safety Network (NHSN) surveillance definition, the most frequently used outcome measure for CAUTI prevention efforts, has limited clinical correlation and does not necessarily reflect noninfectious harms related to the catheter. We advocate use of the device utilization ratio (DUR) as an additional performance measure for potential urinary catheter harm. The DUR is patient-centered and objective and is currently captured as part of NHSN reporting. Furthermore, these data are readily obtainable from electronic medical records. The DUR also provides a more direct reflection of improvement efforts focused on reducing inappropriate urinary catheter use.
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影响因子：
39.2
作者：
Meddings JA;Reichert H;Rogers MA;Saint S;Stephansky J;McMahon LF
通讯作者：
McMahon LF
影响因子：
2
作者：
Golob, Joseph F., Jr.;Claridge, Jeffrey A.;Malangoni, Mark A.
通讯作者：
Malangoni, Mark A.
影响因子：
11.8
作者：
Cope, Matthew;Cevallos, Manuel E.;Trautner, Barbara W.
通讯作者：
Trautner, Barbara W.
影响因子：
11.8
作者：
Leis, Jerome A.;Rebick, Gabriel W.;McGeer, Allison
通讯作者：
McGeer, Allison
影响因子：
4.5
作者：
Hartley S;Valley S;Kuhn L;Washer LL;Gandhi T;Meddings J;Chenoweth C;Malani AN;Saint S;Srinivasan A;Flanders SA
通讯作者：
Flanders SA