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The study was conducted in a NNICU at a large Midwest health care facility; this is an urban hospital, which serves all socioeconomic classes.
The sample includes all patients admitted to NNICU from January 2012 to June 2012 (preimplementation), which was compared to all the patients admitted from January 2013 to June 2013 (post-implementation).
All patients admitted to the NNICU from January 2012 to June 2012 (pre-implementation) and from January 2013 to June 2013 (post-implementation) were included in this study.
The results of this QI/PI project show nurse-led daily assessment of the need for urinary catheters, and removal when necessary can decrease inappropriate urinary catheters in the NNICU. This project showed a 15% reduction in urinary catheter utilization.
Future studies are needed to focus on this subgroup of NNICU patients and risk factors that may contribute to their CAUTIs.
The NNICU has a high acuity level, and many patients need catheters to assure appropriate fluid management.
Limitations include a small study population confined to a single 20-bed unit, limiting the inability to apply to populations other than the NNICU. This was a retrospective QI/PI study, and the amount of available information was limited.
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