Module 4: Summary and Next Steps

Preventing CAUTI in the ICU Setting Slide Presentation

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AHRQ Safety Program for Reducing CAUTI in Hospitals

Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps

AHRQ Pub No. 15-0073-4-EF
September 2015

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Summary of Module 1

  • CAUTI is a common and harmful healthcare- associated infection
  • Evidence-based guidelines exist about catheter use
  • Mitigating CAUTI risk requires a team approach

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Summary of Module 2

  • Introduction to urinary catheter maintenance issues
  • Use of “teachable moments” to empower others in preventing CAUTI

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Summary of Module 3

  • Use of unit protocols to minimize catheter use
  • Importance of communication regarding urinary care plans

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Evidence-Based Guidelines and CAUTI Prevention1

Circular flowchart showing how to prevent CAUTI.

  1. Preventing unnecessary and improper placement.
  2. Maintaining awareness and proper care of catheters.
  3. Prompting catheter removal.
  4. Preventing catheter replacement.

1 Meddings J, Saint S. Disrupting the life cycle of the urinary catheter. Clinical Infectious Diseases. 2011;52(11):1291–1293. PMID: 21596672.

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CAUTI Prevention, as Easy as ABCDE2

  • Adherence to infection control principles (e.g., aseptic insertion, proper maintenance, education) is important
  • Bladder ultrasound may avoid indwelling catheterization
  • Condom or intermittent catheterization in appropriate patients
  • Do not use the indwelling catheter unless you must!
  • Early removal of the catheter using reminders or stop-orders appears warranted

2 Saint S, Olmsted RN, Fakih MG, et al. Translating healthcare–associated urinary tract infection prevention research into practice via the bladder bundle. Joint Commission Journal on Quality and Patient Safety / Joint Commission Resources. 2009;35(9):449-455. PMID: 19769204.

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Your Challenge

  • Promote a safety culture
  • Sustain progress
  • Limit the number of CAUTIs through:
    • Correct use (and not overuse) of urinary catheters
    • Observation
    • Communication

Return to CAUTI Tools Resources Page

Page last reviewed December 2017
Page originally created November 2015
Internet Citation: Module 4: Summary and Next Steps. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/cauti-icu/facil-guide/mod4-slides.html