Catheter-associated urinary tract infections are the most common healthcare-associated infection, leading to substantial morbidity and increased healthcare costs. Central line-associated blood stream infections result in thousands of deaths each year and billions of dollars in added costs to providers. Hoping to lessen instances of these preventable HAIs in their facility, Long Island Community Hospital began a team-based reduction initiative.
Using baseline data collection, team members determined the most effective way to eliminate HAIs was to reduce the use of the catheters and central lines. To achieve this, the team started reviewing device utilization daily, discussing opportunities with nurse managers and front-line staff, educating staff and empowering them to initiate nurse-driven protocols and escalating barriers to removal of devices through continuous monitoring.
The hospital achieved a 22% reduction in utilization of Foley catheters in the medical/surgical and step down units and a 6% reduction in the intensive care units between 2017 and 2018, reaching their goal of 7% of admitted patients with Foley catheters (65% below the national utilization rate). Device utilization of central lines was reduced by 30% in the medical/surgical and SD units and 40% in the ICUs.
For more information, contact Doreen Virgil, MSN, RN, CIC, manager, infection control, at (631) 654-7758 or firstname.lastname@example.org.