How NorthShore University HealthSystem keeps CAUTI rates low

Evanston, Ill.-based NorthShore University HealthSystem significantly reduced its rate of catheter-associated urinary tract infections between 2012-15, according to a case study from the Agency for Healthcare Research and Quality.

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After limiting the use of indwelling catheters, the health system reported just seven CAUTI cases in 2015, compared to 43 cases in 2012.

To maintain low CAUTI rates, NorthShore utilizes a toolkit from AHRQ. The toolkit includes a device risk checklist, which NorthShore’s infection preventionist Mona Shah customized to include 46 data measures regarding a patient’s demographics, catheter history, urine culture specifics and potential pre-contamination risks.

“I love that document. It gives me all the variables in one place, and in many cases allows me to determine whether a CAUTI could be preventable,” Ms. Shah said in a statement, noting that checklist insights helped her identify perineal care as a specific area of improvement to help prevent CAUTIs.   

After implementing the toolkit, NorthShore reported just six CAUTI cases in 2018.

To view the full case study, click here.

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