Urinary Tract Infection Analysis

Great Essays
Infections acquired during a hospital stay is one of the reasons why healthcare costs have increased throughout the years. Centers for Medicare and Medicaid Services (CMS) no longer reimburse hospitals for these preventable infections (Quinn, 2015). Due to this rule implemented by CMS, hospitals are feeling the burden and patients are experiencing unnecessary extended days in the hospital (Sampathkumar, Barth, Johnson, Marosek, Johnson, Worden, & Tompson, 2016). One type of infection that follows this rule is catheter acquired urinary tract infection (CAUTI). CAUTI is one of the easiest infections to prevent, yet 13,000 people still die annually from these infections (Sampathkumar, et al, 2016). The mortality rate of CAUTI infections is relatively …show more content…
Many policy and protocols are initiated with evidence based practice and is significant when implementing a new or revision of policies. Identification of a problem is key to the process of policy making and is the first step to implementing or changing of a policy (Finkelman & Kenner, 2013). The following step is to learn more about the problem that needs to be addressed. This is done by research and gathering information related to the problem. Next, a solution or ideas are considered to solve the problem that was identified in the first step. During this step cost verses benefits are also considered and a solution is carefully chosen. With this policy change, no cost to the facility would be endured, but the time of the second licensed professional would be the cost of the potential to prevent a CAUTI. The fourth step in the policy making policy is implementation of policy. Last, but not least is the monitoring and evaluating the new policy. Policies should be evaluated for the effectiveness and should be revised when …show more content…
The process of policy making is a five step process and with the coalition of several healthcare team members and evidence based practice can be implemented within an organization with a well thought out plan and solution. The process of change only takes one person, but with support it can be implemented in a large healthcare organization. The main goal of policy change related to CAUTI, is the safety of patients. Patients come to a healthcare organization in hopes to get better, not sicker. With a policy change in mind to prevent an infection prior to it occurring is benefiting not only the patient, but the healthcare

Related Documents

  • Improved Essays

    CAUTI Problem

    • 865 Words
    • 4 Pages

    9). Possible complications of a CAUTI are prolonged hospital stays, unnecessary costs to both the patient and the healthcare organizations and poor health outcomes for patients. In addition to poor health outcomes and unnecessary costs to both patients and healthcare organizations, CAUTI’s place the patient at risk for bacteremia (the presence of bacteria in the blood stream) which can easily result in the patient becoming septic, which can often result in the death of a patient. Therefore, the prevention of CAUTI’s is crucial and significant to patient care.…

    • 865 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In particular, NPSG 07.06.01 focuses on the prevention of catheter associated urinary tract infections (CAUTIs). Under this guideline, Joint Commission outlines three elements of performance that must be validated for compliance during a Joint Commission survey. First, indwelling catheters must be inserted according to evidence-based guidelines which include limiting the use and duration of indwelling catheters as well as inserting them using aseptic technique. Second, the indwelling catheters must be maintained using evidence-based guidelines which include maintaining a closed, sterile system, securing catheters and allowing for unobstructed flow and replacing collection system, as needed. Finally, health care facilities must monitor for catheter associated urinary tract infections, as well as develop and track prevention processes and outcomes (TJC, 2016).…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Clabssi Ace Star Model

    • 1015 Words
    • 5 Pages

    Clinical Problem The incidence of CLABSI’s on a SICU in a level one trauma center had increased to an alarming rate of 62% per 1,000 catheter days. Although a 46% decrease in CLABSI’s has occurred in hospitals across the U.S. from 2008-2016, an estimated 30,100 CLABSI’s still occur each year. The patient’s that acquire these infections have increased rates of morbidity and mortality with an alarming 25% of patient’s acquiring CVC infections succumbing to death (Centers for Disease Control and Prevention, 2016).…

    • 1015 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem I am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in hospitalized patients. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling Foley catheters and other requiring placement of the Foley catheter for various reasons. However, research has found that many patients tend to be at risk of unnecessary catheterization and are also at a greater risk of both infectious and non-infectious complications from the procedure (Carter, Reitmeier, & Goodloe, 2014).…

    • 416 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Central line associated bloodstream infections (CLABSI's) are one of the most deadly healthcare associated infections (HAI's). Approximately 12-25% of CLABSI's result in death and the average cost per case is about $26,000. In recent years, between 2001 and 2009, CLABSI incidences have decreased from 43,000 to 18,000. This has saved the health care industry 3-6,000 lives and approximately $414 million in ICU's in 2009 alone. To this day, many hospitals are now reporting zero CLABSI's.…

    • 415 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    CAUTI Prevention

    • 974 Words
    • 4 Pages

    The Reduction and Prevention of Catheter Acquired Urinary Tract Infections (CAUTI) CAUTI or catheter acquired urinary tract infections place an especially heavy burden on today’s health care system. CAUTI increase patient complications and extend admission time while reducing the health care institutions income because the care provided for CAUTI is no longer reimbursable. This means that the health care institution owns that CAUTI and all of its associated cost to care for it. This paper will compare intermittent catheterization with indwelling Foley use and explore evidence based practice criteria for catheter use. Literature Review…

    • 974 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    CAUTI Case Studies

    • 742 Words
    • 3 Pages

    Using evidence base-research on the topic to support CAUTI will support the reason behind the need for a CAUTI team. Gathering a number of evidence-based researches will present a strong case on the benefits of early catheter removals. Statistics from the Center for Disease Control and Prevention can be presented to show the number of complications and preventable deaths related to CAUTI. It is estimated that each year, more than 13,00 deaths are linked to UTI and 93,300 to UTIs in acute care setting (Center for Disease Control and Prevention, 2015). 4.…

    • 742 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Both guidelines, the CDC and NCGC both inform the readers that lack of research in the home setting is a challenge when assessing and addressing a standardized method of teaching and care for home urinary catheter patients in general. It is stated, “No evidence of surveillance of healthcare-associated infections (such as CAUTI) in the community is currently available.” (UK, 2012) The regulations that declare who can insert, maintain and troubleshoot urinary catheters also is confusing and not properly regulated.…

    • 701 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In conclusion with all of this information presented the article does suggest future nursing research with not only long term acute-care facilities but short-term acute care hospitals as well. Over a twelve month period prior and six month post intervention of CAUTI frequency it was determined that there was a 50% reduction in urethral catheter infections. Without the combined efforts of the staff particularly the…

    • 2100 Words
    • 9 Pages
    Improved Essays
  • Improved Essays

    With the reduction in the rate of CAUTIs, there will be a decrease in hospital cost, length of stay, and the degree of patients’ discomfort in an acute care setting (Alexaitis & Broome, 2014). Many national guidelines have been developed in order to aid in the prevention and the detection of CAUTIs. “The Centers for Disease Control and Prevention (CDC) published guidelines for prevention of CAUTI in 1981, and these were updated in 2009. These guidelines provide recommendations for catheter use, catheter insertion, catheter care, and implementation of…

    • 1448 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    They are also working with a committee for Prevention of Health Care Associate Infections to come up with strategies to help accelerate the progress of the nation infection reduction goals. • This health care policy is important because it can change patient's lives as well as save them. Thousands of individuals die each year because the cause of healthcare-associated infections because their treatment may have gone wrong or they may have gotten a bacterial infection from surgery. Any reduction or coming up with better strategies will help the hospitals and clinics know what protocol to use, which will save an individual's life. It also helps keeps the staff from at risk too because they would be following the policy and protocols that will keep them and the patients safe…

    • 555 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The physicians are accountable for utilisation of basic preventive procedures, and exert effective guidance in the encouragement of all infection prevention/clinical epidemiology (IPCE) policies and procedures. Nurses are at hand in all health care settings and can play a key role in modelling and promote evidenced- based infection control practices which will confirm the persistence of the quality of the care for patients (Smith J. M., 2009). Hence, the aim of this study was to detect the knowledge, attitude, and practice of physicians and nurses regarding infection control at Tanta University…

    • 678 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    With the introduction of this act, it is expected to transform the practices of healthcare clinically…

    • 1216 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Working in a nursing home we are trained in several things; one of them being the proper way to bathe and clean one 's peritoneal area. One method of preventing a UTI is by making sure to always wipe from front to back this lessons the chances of getting fecal matter in the urinary tract. This is just from my general knowledge however, I did some more research for not just this essay but for my own knowledge as well. I found that there are 10 tips to preventing Urinary Tract Infections. (1) “Let the genital area breath.…

    • 757 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Introduction/Review of Literature Introduction Hospital acquired infections (HAI), also known as healthcare associated infections or nosocomial infections, are infections transmitted to patients while in a hospital or other healthcare facility. According to the Centers for Disease Control and Prevention (2015), there were approximately 722,000 patients suffering from hospital acquired infections in the United States in 2011 of whom 75,000 suffered fatalities. Accordingly, hospital acquired infections accounted for more deaths in 2011 than the 32,367 fatalities from motor vehicle accidents combined with the 41,374 fatalities from breast cancer in 2011 (Center for Disease Control and Prevention, 2014, September; U.S Department of Transportation,…

    • 1608 Words
    • 7 Pages
    Superior Essays