Joint Commission Case Study
Running head: INDWELLING URINARY CATHETERS
Indwelling Urinary Catheters and the Postoperative Orthopedic Patient
Ashley Wood-Pollard
University of South Alabama
1
INDWELLING URINARY CATHETERS AND THE POSTOPERATIVE ORTHOPEDIC
PATIENT
2
Catheter associated urinary tract infections (CAUTI) are the most prevalent of all nosocomial infections inflicted upon patients while hospitalized. Approximately 30% of all hospital reported infections are of the urinary tract (Joint commission: New year will usher in new CAUTI prevention requiremants, 2011). The Joint Commission estimates the annual cost of
CAUTI care is in excess of $400 million; furthermore, CAUTI care is targeted by Medicaid and
Medicare services as a non-reimbursable infection. …show more content…
This study was the most recent on record and aligned with the
Joint Commission’s National Patient Safety Guidelines.
Summary
Evidence based practices have become the cornerstone for the standard of care in healthcare facilities. Over the course of the past 20 years, healthcare providers have provided the research necessary to remove indwelling urinary catheters as the standard of care in postoperative orthopedic patients; from advocating of their use for urinary retention in the late 1990’s to limiting their utilization today.
The higher incidence of CAUTI has provided Medicaid and Medicare programs support in rejecting reimbursement measures to facilities for these types of nosocomial infections. New nurse directed protocols supported by evidenced based research have decreased the incidence of
CAUTI, although, if these practices are to continue to be successful, a physician culture change must be embraced. The entire healthcare team must continue to participate in an active role
Indwelling Urinary Catheters and the Postoperative Orthopedic Patient
Ashley Wood-Pollard
University of South Alabama
1
INDWELLING URINARY CATHETERS AND THE POSTOPERATIVE ORTHOPEDIC
PATIENT
2
Catheter associated urinary tract infections (CAUTI) are the most prevalent of all nosocomial infections inflicted upon patients while hospitalized. Approximately 30% of all hospital reported infections are of the urinary tract (Joint commission: New year will usher in new CAUTI prevention requiremants, 2011). The Joint Commission estimates the annual cost of
CAUTI care is in excess of $400 million; furthermore, CAUTI care is targeted by Medicaid and
Medicare services as a non-reimbursable infection. …show more content…
This study was the most recent on record and aligned with the
Joint Commission’s National Patient Safety Guidelines.
Summary
Evidence based practices have become the cornerstone for the standard of care in healthcare facilities. Over the course of the past 20 years, healthcare providers have provided the research necessary to remove indwelling urinary catheters as the standard of care in postoperative orthopedic patients; from advocating of their use for urinary retention in the late 1990’s to limiting their utilization today.
The higher incidence of CAUTI has provided Medicaid and Medicare programs support in rejecting reimbursement measures to facilities for these types of nosocomial infections. New nurse directed protocols supported by evidenced based research have decreased the incidence of
CAUTI, although, if these practices are to continue to be successful, a physician culture change must be embraced. The entire healthcare team must continue to participate in an active role