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Urinary Catheter Indications in the United States: Results from a National Survey of Acute Care Hospitals

Published online by Cambridge University Press:  10 May 2016

M. Todd Greene
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
Hiroko Kiyoshi-Teo
Affiliation:
School of Nursing, Oregon Health Sciences University, Portland, Oregon
Heidi Reichert
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
Sarah Krein
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan
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Extract

In a survey of acute care hospitals across the United States, we found that many hospitals use indwelling urinary catheters for reasons that are not medically necessary (eg, urinary incontinence without outlet obstruction and patient/family requests). Our findings highlight an opportunity to reduce unnecessary catheter use through promoting awareness of appropriate use.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

References

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10. Greene, MT, Fakih, MG, Fowler, K, et al. Regional variation in urinary catheter use and catheter-associated urinary tract infection: results from a national collaborative. Infect Control Hosp Epidemiol 2014;35(suppl 3):S99S106 (in this issue).CrossRefGoogle ScholarPubMed
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12. Krein, SL, Kowalski, CP, Harrod, M, Forman, J, Saint, S. Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA Intern Med 2013:16.Google Scholar

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