Document Detail

Accuracy of a urinary catheter surveillance protocol.
MedLine Citation:
PMID:  21813209     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter device-days. However, device-days are usually obtained by chart review or nursing reports. The aim of this study was to demonstrate that chart review can provide accurate urinary catheter data compared with physical inspection of the urinary catheter at the bedside.
METHODS: We compared 2 methods for collecting urinary catheter data over a 6-month period on 10 wards at our VA hospital. For the chart reviews, we created a daily bed-occupancy roster from the electronic medical record. Catheter data were extracted from the daily progress notes for each patient using a standardized review process. Bedside reviews were conducted by visiting the ward and verifying the presence and type of urinary catheters. Agreement between the 2 methods was calculated.
RESULTS: We obtained urinary catheter data by both methods in 621 cases. The presence or type of urinary catheter differed between chart and bedside review in only 10 cases (1.6%). Chart review had a sensitivity of 100%, a specificity of 97.7%, raw agreement of 98.4%, and a κ value of 0.96.
CONCLUSIONS: Individual chart review in the electronic medical record provided very accurate data on urinary catheter use.
Allison C Burns; Nancy J Petersen; Armandina Garza; Monisha Arya; Jan E Patterson; Aanand D Naik; Barbara W Trautner
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2011-08-03
Journal Detail:
Title:  American journal of infection control     Volume:  40     ISSN:  1527-3296     ISO Abbreviation:  Am J Infect Control     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-03     Completed Date:  2012-05-23     Revised Date:  2013-03-06    
Medline Journal Info:
Nlm Unique ID:  8004854     Medline TA:  Am J Infect Control     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-8     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
VA Health Services Research and Development Houston Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA.
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MeSH Terms
Catheter-Related Infections / prevention & control*
Data Collection / methods
Epidemiologic Methods*
Health Services Research*
Time Factors
Urinary Catheterization / adverse effects,  methods*,  utilization*
Urinary Tract Infections / prevention & control*
Grant Support
I01 HX000139/HX/HSRD VA; K23AG027144/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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