Article ; Online: Preventing pediatric catheter-associated urinary tract infections utilizing urinary catheter Kamishibai cards (K-cards).
American journal of infection control
2022 Volume 51, Issue 8, Page(s) 919–925
Abstract: Background: We instituted Kamishibai (K-card rounding) with the goals of improving indwelling ... quality improvement project from January 2019 to June 2021 after developing a K-card based on our urinary catheter ... maintenance bundle. Auditors used K-cards to ask standardized questions during weekly rounds. Bundle ...
Abstract | Background: We instituted Kamishibai (K-card rounding) with the goals of improving indwelling urinary catheter maintenance bundle reliability and decreasing catheter-associated urinary tract infection (CAUTI) rates. Method: In a free-standing children's hospital, we undertook a hospital-wide quality improvement project from January 2019 to June 2021 after developing a K-card based on our urinary catheter maintenance bundle. Auditors used K-cards to ask standardized questions during weekly rounds. Bundle reliability and CAUTI rates were analyzed prospectively. Results: During the study period, 826 K-card audits were performed for 657 unique patients. While overall maintenance bundle reliability remained stable at 84%, there was a statistically significant improvement in reliability to the bundle element "medical discussion of need for the urinary catheter" from 88% to 94% (P = .01). The hospital-wide CAUTI rate significantly decreased (incidence rate ratio, 0.38; 95% CI, 0.15-0.93; P = .04). Discussion: Hospital-wide urinary catheter K-card rounding facilitated standardized data collection, discussion of reliability and real-time feedback to nurses. Maintenance bundle reliability remained stable after implementation, accompanied by a significant decrease in the CAUTI rate. Conclusions: Implementation of hospital-wide urinary catheter K-card rounding was associated with reduction in CAUTI rates. The project demonstrated likelihood of reproducibility with support of a multidisciplinary team. |
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MeSH term(s) | Humans ; Child ; Urinary Catheters/adverse effects ; Catheter-Related Infections/epidemiology ; Catheter-Related Infections/prevention & control ; Reproducibility of Results ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/prevention & control ; Urinary Tract Infections/complications ; Quality Improvement ; Urinary Catheterization/adverse effects ; Cross Infection/epidemiology ; Cross Infection/prevention & control ; Cross Infection/etiology |
Language | English |
Publishing date | 2022-12-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 392362-9 |
ISSN | 1527-3296 ; 0196-6553 |
ISSN (online) | 1527-3296 |
ISSN | 0196-6553 |
DOI | 10.1016/j.ajic.2022.11.019 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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