Changing the culture of urine culturing: Utilizing Agile Implementation to improve diagnostic stewardship in the ICU.
• Agile implementation improves urine culture diagnostic stewardship in critical care. • Agile implementation engages key stakeholder and preserves provider autonomy. • Utilizing a urine culture algorithm results in significant reduction in catheter-associated urinary tract infection. • Urine cultur...
| Publicado en: | American Journal of Infection Control Vol. 48; no. 11; pp. 1375 - 1381 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Nov2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146559274&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146559274 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Nov2020 vid: 48 iid: 11 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 146559274 146559274 146559274 10.1016/j.ajic.2020.01.022 146559274 ppf: 1375 ppct: 6 formats: tig: atl: Changing the culture of urine culturing: Utilizing Agile Implementation to improve diagnostic stewardship in the ICU. aug: au: Page, Shannon Hazen, Dana Kelley, Kristen Singh, Ranjeet Rodgers, Richard B. Brewer, Brian Sadowski, Joshua Desai, Armisha Beeler, Cole Webb, Douglas Azar, Jose Dbeibo, Lana affil: Indiana University Health, Indianapolis, IN sug: subj: Urinary Tract Infections, Catheter-Related Prevention and Control Quality Improvement Urinary Tract Infections, Catheter-Related Diagnosis Culture Techniques Infection Control Methods Human Program Implementation Algorithms Intensive Care Units Urinalysis Midwestern United States Urinary Tract Infections Retrospective Design Multidisciplinary Care Team Implementation Science Nonexperimental Studies Nurses ab: • Agile implementation improves urine culture diagnostic stewardship in critical care. • Agile implementation engages key stakeholder and preserves provider autonomy. • Utilizing a urine culture algorithm results in significant reduction in catheter-associated urinary tract infection. • Urine culture stewardship does not result in patient harm or missed catheter-associated urinary tract infection diagnoses. Over diagnosis of catheter-associated urinary tract infection (CAUTI) contributes to unnecessary and excessive antibiotic use, selection for resistant organisms, increased risk for Clostridiodes difficile infections, as well as a false elevation in CAUTI rates. Utilizing agile implementation to implement a urine culture algorithm achieved statistically significant reduction in CAUTI rates in a critical care unit resulting in sustainment and spread throughout the system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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