Implementation

Toolkit for Reducing CAUTI in Hospitals

The Implementation module of the Toolkit for Reducing CAUTI in Hospitals discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care. It takes users step by step through execution of clinical and cultural interventions.

Guides

Tools

  • Checklists for Assessing Executive and Physician Champion Potential  (Word File, 284 KB) (Appendix A of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    These checklists, developed by Andrea Silvey, Ph.D., M.S.N., chief quality improvement officer of Health Services Advisory Group, provide concrete examples of qualities to look for when considering executives or physicians to serve as project champions.
  • Urinary Catheterization - Sample Policy (Word File, 283 KB) (Appendix B of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Use this sample policy to embed evidence-based practice in organizational policy. Adapt this policy to meet the needs of your facility.
  • Sample Bladder Scan Policy (Word File, 282 KB) (Appendix C of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Bladder scanners can be used to assess and confirm urinary retention and confirm whether urinary catheterization is justified. Use this sample policy to embed evidence-based practice in organizational policy.
  • Poster on Indications for Urinary Catheters (PDF File, 298 KB) (Appendix D of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate staff on the appropriate indications and nonindications for use of indwelling urinary catheters.
  • Poster on Urinary Catheter Risks and Indications (PDF File, 570 KB) (Appendix E of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate and motivate staff regarding the risks, indications, and nonindications for use of indwelling urinary catheters.
  • Urinary Catheter Decision-Making Algorithm (Word File, 154 KB) (Appendix F of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Use this tool to guide decision making on proper use and nonuse of indwelling urinary catheters.
  • Urinary Catheter Project Fact Sheet (PDF File, 339 KB) (Appendix G of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate staff on the problem of CAUTI, project goals, indications for indwelling urinary catheter use, and catheter removal.
  • Urinary Catheter Pocket Card (Word File, 242 KB) (Appendix H of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate staff in removal of indwelling urinary catheters, risks of catheter use, and indications and nonindications for catheter use.
  • Catheter Care Pocket Card (Word File, 183 KB) (Appendix I of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate and encourage staff to follow evidence-based practice in care of urinary catheters.
  • Urinary Catheter Brochure (PDF File, 306 KB) (Appendix J of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate staff on the problem of CAUTI, removal of indwelling urinary catheters, alternate solutions for incontinence, an algorithm for proper catheter use, and indications and nonindications for catheter use.
  • Infographic Poster on CAUTI Prevention (PDF File, 20 MB) (Appendix K of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Use this educational tool to educate and motivate staff to follow evidence-based CAUTI prevention practices in three domains: appropriate catheter use, proper insertion and maintenance, and prompt catheter removal.
  • Intensive Care Unit Infographic Poster (PDF File, 761 KB) (Appendix L of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Use this educational tool to help staff understand the risks associated with use of indwelling urinary catheters and educate and motivate staff to consider alternatives to using these catheters. Risks of overuse of urine culturing are also covered in this tool.
  • Example of a Nurse-Driven Protocol for Catheter Removal (Word File, 295 KB) (Appendix M of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    An example of a protocol that empowers nurses to evaluate and discontinue unnecessary urinary catheters.
  • Skin Care in the Incontinent Patient (Word File, 134 KB) (Appendix N of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    Educate caregivers on how to prevent skin breakdown in incontinent patients without resorting to use of indwelling urinary catheters.
  • CAUTI Event Report Template (Word File, 1.6 MB) (Appendix O of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    When a CAUTI occurs in a unit, teams can use this tool adapted from a report by the North Carolina Quality Center to identify root causes.
  • Interpreting CAUTI Data Trends Tool (Excel File, 76 KB) (Appendix P of Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide)
    This tool presents suggested questions and action items in response to different trends in teams’ data submission rates and process and outcome data.

Archived Webinars

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Page last reviewed March 2016
Page originally created September 2015
Internet Citation: Implementation. Content last reviewed March 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/tools/cauti-hospitals/toolkit-impl.html