Urinary tract infections account for a large amount of healthcare-associated infections, and the majority of those are due to catheters. To reduce these infections and improve patient care, Jacobi Medical Center in New York City assembled interdisciplinary teams to review and implement evidence-based practices for optimum catheter use and removal. The teams developed new guidelines which included removing a catheter two days after surgery; this was a 50 percent reduction in the previous number of days patients were catheterized. A review process was also incorporated into clinical rounds, and weekly meetings were started to evaluate patients who were still catheterized and to identify opportunities for catheter removal.
As a result of these initiatives, forty percent of the hospital's units reached the goal of zero catheter-associated urinary tract infections (CAUTIs) during the study period, and the overall number of CAUTIs dropped dramatically institution-wide.