Evidence-Based Practice Article Critique
In this paper, I will be critiquing an evidence based article about Catheter Associated Urinary Tract Infections (CAUTI). CAUTIs are one of many Hospital Acquired Infections (HAI) that are common in critical care units where many patients are chemically sedated and ventilated. HAIs must be treated by hospitals usually with no cost to the patient or insurance company. In this article, a CAUTI bundle was implemented in Boston Medical Centers (BMC) Intensive Care Units (ICUs). Through a near 5-year time frame they implemented 5 key CAUTI bundles. This was started in 2013 and lasted through the end of 2017. The use of CAUTI prevention bundles was introduced by administrators and enforced by unit nursing supervisors.
The following care bundles implemented included, Foley catheter insertion techniques and maintenance, indications for introducing Foley catheters, appropriate testing for CAUTIs, the use of alternatives to indwelling catheters, and sterilization techniques. Daily ICU checklists included determining if Foley catheters are to remain in place.
References
Van Decker, S. G., Bosch, N., & Murphy, J. (2021). Catheter-associated urinary tract infection reduction in critical care units: a bundled care model. BMJ open quality, 10(4), e001534. https://doi.org/10.1136/bmjoq-2021-001534
