CAUTI Emergency Department Improvement Intervention

Great Opportunity to Join the National ED Improvement Intervention! Many Oregon hospitals have been focused on reducing catheter utilization and CAUTI rates on their inpatient units through the Stop CAUTI National Project and the Partnership for Patients over the last two years. Starting in March 2014, all Oregon hospitals have the opportunity to build on inpatient CAUTI reduction successes and to join the National ED Improvement Intervention to focus on improving indwelling catheter use in the ED. The National Intervention is an opportunity to learn from subject matter experts, hear hospital best practices, and network with hospitals across the state and country to ensure appropriate catheter use in the ED.

IMPORTANT DATES: Learn More about the ED Improvement Intervention! ED Informational Webinar: Mapping the CAUTI Prevention Journey

o Date/Time: February 21, 2014, 9:00 AM PTo Click HERE to register!

CAUTI State Meeting, February 27, 2014: Join Oregon colleagues to share CAUTI reduction strategies and success stories. In addition, national expert Dr. Mohamad Fakih will be presenting on the CAUTI in the ED Intervention piloted at his hospital, St. Joseph Hospital & Medical Center, and throughout the state of Michigan.

o Click the following link to view the agenda and register : http://hospitals.oahhs.org/site/Calendar?id=101701&view=Detail

o Date/Time: February 27, 2014, 8:00 AM – 2:30 PMo Location: The Grand Hotel at Bridgeport, 7265 SW Hazel Fern Rd, Portland, OR 97224

ABOUT THE INTERVENTIONEmergency Departments (EDs) have unique challenges in preventing CAUTI. Numerous studies have shown that a majority of indwelling urinary catheters are placed in the ED. Workflow and staffing challenges can result in urinary catheter placement, even when they are not indicated, and the link between misuse of urinary catheters and CAUTI is well documented.

The ED Improvement Intervention promotes best practices to reduce catheter utilization and decrease overall CAUTI rates. The intervention expands an ED’s capacity to:

Adhere to institutional guidelines (HICPAC preferred) Ensure physician and nurse engagement Observe proper insertion technique

The ED Improvement Intervention provides crucial support to EDs in improving catheter appropriateness and proper insertion techniques in reducing CAUTI.

PROGRAM REQUIREMENTS Participate for the 12-month data collection

intervention period. Assemble a team, including a team leader. Submit baseline, implementation and sustainability

data.

Meet as a team to monitor performance improvement.

Attend webinars, calls, and in-person meetings. Share lessons with other units.

DATA REQUIREMENTS OAHHS will be holding a data webinar on Monday, February 24 at 12 PM to walk through the specifics of the data collection. Click HERE to register.

The following data will be required for each day of the data collection:1. Number of admissions from the ED, including observation patients 2. Number of admissions from the ED, including observation patients with an indwelling catheter that was newly placed in the ED

DATA COLLECTION SCHEDULE Baseline: March 18-31, 2014 (2 weeks) Implementation: May 18-31, 2014 (1 week) Sustainability: (1 week per quarter) August 18-31, 2014, November 17-30, 2014, February 15-28, 2015.

A user-friendly data collection worksheet will be provided to all participating hospitals.

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CAUTI Emergency Department Improvement Intervention

READILY AVAILABLE RESOURCES AND SUPPORThttp://www.onthecuspstophai.org/on-the-cuspstop-cauti/toolkits-and-resources/emergency-department-improvement-intervention/

Resources ED Improvement Intervention Fact Sheet (.doc) Informational Presentation on the ED Improvement Intervention (.ppt) Understanding the ED Improvement Intervention Framework (.mp4) | Transcript (.doc) ED Nursing Education Presentation from ENA (.ppt) ED Algorithm #1 (.doc) ED Algorithm #2 (.doc)

CAUTI ED Quick Guide Appropriate Urinary Catheter Use in the ED – with Appendices (.pdf) Appropriate Urinary Catheter Use in the ED - without Appendices (.doc) Appendix A: Simplified Insertion Technique Checklist (.doc) Appendix B: Program Implementation Timeline (.doc) Appendix C: Sample Educational Fact Sheet (.doc) Appendix D: Sample Educational Pocket Card (.doc) Appendix E: Sample Educational Poster (.doc) Appendix F: ED Intervention Urinary Catheter (UC) Data Collection Form (.doc) Appendix G: Metrics for Urinary Catheter (UC) Placement and Inappropriately Placed Catheter Rates (.doc)

Presentations from the CAUTI Track at AHA HEN Week

The Emergency Nurse and CAUTI Prevention (.pdf) Successful CAUTI Prevention Starts in the ED: Nursing Strategies that Work (.pdf) Addressing Appropriate Urinary Catheter Use in the Emergency Department (.pdf)

Supporting Organizations

American College of Emergency Physicians (ACEP) Emergency Nurses Association (ENA) Health Research & Educational Trust (HRET) Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality Michigan Health & Hospital Association (MHA) St. John Hospital & Medical Center University of Michigan Health System

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