Urinary tract infections (UTIs) are the most common hospital-acquired infection, accounting for up to 40% of infections reported by acute care hospitals. The major risk factor associated with catheter-associated urinary tract infection (CAUTI) is the presence of an indwelling urinary catheter. Despite efforts to reduce the occurrence of CAUTIs, their frequency increased 6% between 2009 and 2013. CAUTIs increase hospital cost and are associated with increased morbidity and mortality.2,3  CAUTIs are considered by the Centers for Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization. As such, no additional payment is provided to hospitals for costs related to CAUTI treatment.

Consider use of a previously developed set of criteria or tool, such as the HOUDINI Protocol, to standardize assessment and a nurse-driven protocol for assessing the initial and ongoing need for indwelling catheters (https://www.advisory.com/research/nursing-executive-center/expert-insights/2013/faqs-houdini-protocol).

Make insertion of an indwelling...

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