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Michigan hospitals national leaders in preventing common and costly urinary tract infections
Date:3/25/2013

and his colleagues found that Michigan hospitals were more likely to participate in efforts to reduce catheter-associated infections by using bladder-scanners as well as reminders or stop-orders to ensure catheter use was discontinued at an appropriate time. More frequent use of preventive practices coincided with a 25 percent reduction in UTI rates at Michigan hospitals compared to a 6 percent overall decrease experienced by other U.S. hospitals.

"These data reinforce the significance of appropriately maintaining and removing catheters in the effort to prevent catheter-associated UTIs," says Saint, who is also the director of the U-M/VA Patient Safety Enhancement Program, and leader of several other studies on infection prevention including some taking place in Italy and Japan.

"The Keystone Bladder Bundle project in Michigan provides an effective model for implementing strategies to lower patients' risk of developing a UTI in the hospital. There is clearly a need to identify strategies to help hospitals in other states and even other countries enact similar practices to improve care and reduce healthcare costs."

The findings coincide with another U-M-led study in the same issue of JAMA Internal Medicine that identifies the barriers some hospitals face in implementing strategies to reduce urinary catheter use. Common barriers included difficulty engaging nurse and physicians to change their practice styles, patient and family requests for indwelling catheters, and emergency departments' customary process on catheter use.

"Every hospital has its own approach to catheter use that's become ingrained into that specific institution's culture of care," says lead author of the second study Sarah Krein, Ph.D., R.N. research associate professor, U-M Department of Internal Medicine, research scientist, VA Ann Arbor Healthcare System; and of the U-M School of Nursing.

"Changing those expectations and customs won't happen
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Contact: Beata Mostafavi
bmostafa@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

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