The Best Recommendation Plan to Reduce Foleys Catheter Associated Urinary Tract Infection in Elderly Patients under Home Health Care Services

Abstract

Objective:To develop and implement an innovative change, in the form of a physical reminder sticker protocol, to mitigate the high incidence of CAUTI in the elderly home care patient population at GLTD. Methods: A comprehensive literature review was conducted that served to provide a robust evidence base to add assure the implementation programme was grounded in an evidence-based approach. Said literature review also added to steps identified for a facility-wide change implementation. Change management strategies were identified herein. A comprehensive implementation plan, developed in accord with the IHI Model for Improvement was presented. Evaluation: A variety of evaluation strategies and methodologies were identified to assess baseline data, interim data, and data results of a pilot implementation, short-term post-implementation results, and long-term postimplementation strategies. Discussion: Implications for the organisation and clinical setting were discussed. Recommendations for a robust Phase 2 were presented. Project strengths and weaknesses were discussed. Results: There were a total of 80 patients with catheter under HHCS in the beginning of the project. In the first three months on implementing the CAUTI program there was a significant decreases in the number of patients, from 80 it dropped to 60 a decrease of 25 %. The second phase saw a sharp decrease; the catheter was removed from 60 % of the patients. It was 10 percentage more than the anticipated by 50% by the end of March 2015.