Beyond infection: Device utilization ratio as a performance measure for urinary catheter harm

Infection Control and Hospital Epidemiology

Volumn 37, Issue 3, 2015, Pages 327-333

  Fakih, Mohamad G ^a,b   Gould, Carolyn V ^c   Trautner, Barbara W ^d,e   Meddings, Jennifer ^f   Olmsted, Russell N ^g   Krein, Sarah L ^h   Saint, Sanjay ^f,h  

^a ST JOHN HOSPITAL AND MEDICAL CENTER   (United States)

^b WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c NATIONAL CENTER FOR EMERGING AND ZOONOTIC INFECTIOUS DISEASES   (United States)

^d MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^e BAYLOR COLLEGE OF MEDICINE   (United States)

^f UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^g Trinity Health   (United States)

^h VA ANN ARBOR HEALTHCARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CATHETER ASSOCIATED URINARY TRACT INFECTION; CLINICAL PRACTICE; ELECTRONIC MEDICAL RECORD; HEALTHCARE ASSOCIATED INFECTION; HOSPITAL UTILIZATION; HUMAN; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SAFETY; REVIEW; URINARY CATHETER; ADVERSE EFFECTS; CATHETER-RELATED INFECTIONS; CROSS INFECTION; ELECTRONIC HEALTH RECORD; HOSPITAL; INFECTION CONTROL; STANDARDS; UNITED STATES; URINARY TRACT INFECTIONS; UTILIZATION;

CATHETER-RELATED INFECTIONS; CROSS INFECTION; ELECTRONIC HEALTH RECORDS; HOSPITALS; HUMANS; INFECTION CONTROL; OUTCOME ASSESSMENT (HEALTH CARE); UNITED STATES; URINARY CATHETERS; URINARY TRACT INFECTIONS;

EID: 84959219445     PISSN: 0899823X     EISSN: 15596834     Source Type: Journal    
DOI: 10.1017/ice.2015.287     Document Type: Review

References (40)

1. National Action Plan to Prevent Health Care-Associated Infections: Road Map to Elimination. U.S. Department of Health & Human Services website. http://www.health.gov/hcq/prevent_hai.asp. Accessed on July 4, 2015.
2. Department of Health and Human Services, Centers for Medicare & Medicaid Services. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the longterm care hospital prospective payment system and Fiscal Year 2014 rates; quality reporting requirements for specific providers; hospital conditions of participation; payment policies related to patient status. Final rules. Fed Regist 2013;78:50495-51040.
3. Fakih MG, George CM, Edson BS, Goeschel CA, Saint S. Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Infect Control Hosp Epidemiol 2013;34:1048-1054.
4. Chenoweth CE, Saint S. Urinary tract infections. Infect Dis Clin N Am 2011;25:103-115.
5. Meddings J, Saint S. Disrupting the life cycle of the urinary catheter. Clin Infect Dis 2011;52:1291-1293.
6. Cope M, Cevallos ME, Cadle RM, Darouiche RO, Musher DM, Trautner BW. Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clin Infect Dis 2009;48:1182-1188.
7. Jacob JT, Klein E, Laxminarayan R, et al. Vital signs: carbapenemresistant Enterobacteriaceae. MMWR 2013;62:165-170.
8. Sievert DM, Ricks P, Edwards JR, et al. Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010. Infect Control Hosp Epidemiol 2013;34:1-14.
9. Drekonja DM, Rector TS, Cutting A, Johnson JR. Urinary tract infection in male veterans: treatment patterns and outcomes. Arch Intern Med 2013;173:62-68.
10. Hollingsworth JM, Rogers MAM, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis. Ann Intern Med 2013; 159:401-410.
11. Saint S, Lipsky BA, Goold SD. Indwelling urinary catheters: a one-point restraint? Ann Intern Med 2002;137:125-127.
12. National Healthcare Safety Network. Surveillance for Urinary Tract infections. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/acute-care-hospital/CAUTI/ index.html. Accessed on July 4, 2015.
13. Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 2010;50:625-663.
14. Hospital-Acquired Conditions. Centers for Medicare & Medicaid Services website. http://www.cms.gov/Medicare/Medicare-Feefor-Service-Payment/HospitalAcqCond/Hospital-Acquired_ Conditions.html. Accessed on July 4, 2015.
15. Department of Health and Human Services, Centers for Medicare & Medicaid Services. Medicare program: changes to the hospital inpatient prospective payment systems and fiscal year 2009 rates; payments for graduate medical education in certain emergency situations; changes to disclosure of physician ownership in hospitals and physician self-referral rules; updates to the long-term care prospective payment system; updates to certain IPPS-excluded hospitals; and collection of information regarding financial relationships between hospitals. Final rules. Fed Regist 2008;73:48433-49084.
16. Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis. Ann Intern Med 2012;157:305-312.
17. Meddings J, Saint S, McMahon LF, Jr. Hospital-acquired catheter-associated urinary tract infection: documentation and coding issues may reduce financial impact of Medicare’s new payment policy. Infect Control Hosp Epidemiol 2010;31:627-633.
18. Goto M, Ohl ME, Schweizer ML, Perencevich EN. Accuracy of administrative code data for the surveillance of healthcareassociated infections: a systematic review and meta-analysis. Clin Infect Dis 2014;58:688-696.
19. Meddings J, Reichert H, Dueweke E, Rhyner J. Issues regarding identification of urinary catheter use from medical records. In Battles JB, Cleeman JI, Kahn KK, Weinberg DA, ed. Advances in the Prevention and Control of Healthcare-Associated Infections. Rockville, M.D.: Agency for Healthcare Research and Quality, 2014.
20. Lin E, Bhusal Y, Horwitz D, Shelburne SA, III, Trautner BW. Overtreatment of enterococcal bacteriuria. Arch Intern Med 2012;172:33-38.
21. Trautner BW, Petersen NJ, Hysong SJ, Horwitz D, Kelly PA, Naik AD. Overtreatment of asymptomatic bacteriuria: identifying provider barriers to evidence-based care. Am J Infect Control 2014;42:653-658.
22. Shaughnessy MK, Amundson WH, Kuskowski MA, DeCarolis DD, Johnson JR, Drekonja DM. Unnecessary antimicrobial use in patients with current or recent Clostridium difficile infection. Infect Control Hosp Epidemiol 2013;34:109-116.
23. Wang Y, Eldridge N, Metersky ML, et al. National Trends in Patient Safety for Four Common Conditions, 2005-2011. N Engl J Med 2014;370:341-351.
24. Dudeck MA, Horan TC, Peterson KD, et al. National Healthcare Safety Network report, data summary for 2011, device-associated module. Am J Infect Control 2013;41:286-300.
25. Leis JA, Rebick GW, Daneman N, et al. Reducing antimicrobial therapy for asymptomatic bacteriuria among noncatheterized inpatients: a proof-of-concept study. Clin Infect Dis 2014;58: 980-983.
26. Al-Qas Hanna F, Sambirska O, Iyer S, Szpunar S, Fakih MG. Clinician practice and the National Healthcare Safety Network definition for the diagnosis of catheter-associated urinary tract infection. Am J Infect Control 2013;41:1173-1177.
27. Fortuna JA, Brenneman WA, Storli S, Birnbaum D, Brown KL. The current state of validating the accuracy of clinical data reporting: lessons to be learned from quality and process improvement scientists. Infect Control Hosp Epidemiol 2013;34:611-614.
28. Talbot TR, Bratzler DW, Carrico RM, et al. Public reporting of health care-associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee. Ann Intern Med 2013;159:631-635.
29. Trautner BW, Patterson JE, Petersen NJ, et al. Quality gaps in documenting urinary catheter use and infectious outcomes. Infect Control Hosp Epidemiol 2013;34:793-799.
30. Dudeck MA, Edwards JR, Allen-Bridson K, et al. National Healthcare Safety Network report, data summary for 2013, Device-Associated Module. Am J Infect Control 2015;43:206-221.
31. Golob JF Jr, Claridge JA, Sando MJ, et al. Fever and leukocytosis in critically ill trauma patients: it’s not the urine. Surg Infect (Larchmt) 2008;9:49-56.
32. Hartley S, Valley S, Kuhn L, et al. Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement. Infect Control Hosp Epidemiol 2013;34: 1204-1207.
33. Fakih MG, Heavens M, Grotemeyer J, Szpunar SM, Groves C, Hendrich A. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med 2014;63:761-768.e761.
34. Wright M-O, Kharasch M, Beaumont JL, Peterson LR, Robicsek A. Reporting catheter-associated urinary tract infections: denominator matters. Infect Control Hosp Epidemiol 2011;32:635-640.
35. Fakih MG, Greene MT, Kennedy EH, et al. Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated urinary tract infection. Am J Infect Control 2012;40:359-364.
36. Meddings J, Rogers MA, Krein SL, Fakih MG, Olmsted RN, Saint S. Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review. BMJ Qual Saf 2014;23:277-289.
37. Woeltje KF, Lin MY, Klompas M, Wright MO, Zuccotti G, Trick WE. Data requirements for electronic surveillance of healthcare-associated infections. Infect Control Hosp Epidemiol 2014;35:1083-1091.
38. Garibaldi RA, Mooney BR, Epstein BJ, Britt MR. An evaluation of daily bacteriologic monitoring to identify preventable episodes of catheter-associated urinary tract infection. Infect Control 1982;3:466-470.
39. Miller BL, Krein SL, Fowler KE, et al. A multimodal intervention to reduce urinary catheter use and associated infection at a Veterans Affairs Medical Center. Infect Control Hosp Epidemiol 2013;34:631-633.
40. Fridkin SK, Olmsted RN. Meaningful measure of performance: a foundation built on valid, reproducible findings from surveillance of health care-associated infections. Am J Infect Control 2011;39:87-90.