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Reducing unnecessary urethral catheter use in Japanese intensive care units: A multicenter interventional study

Published online by Cambridge University Press:  27 September 2019

Akira Kuriyama Open the ORCID record for Akira Kuriyama [Opens in a new window] ,
Karen E. Fowler Open the ORCID record for Karen E. Fowler [Opens in a new window] ,
Jennifer Meddings ,
Hiromasa Irie Open the ORCID record for Hiromasa Irie [Opens in a new window] ,
Daisuke Kawakami ,
Hiroshi Iwasaki ,
Masaaki Sakuraya Open the ORCID record for Masaaki Sakuraya [Opens in a new window] ,
Kohta Katayama ,
Yasuharu Tokuda  and
Sanjay Saint Open the ORCID record for Sanjay Saint [Opens in a new window]
Akira Kuriyama*
Affiliation:
Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan
Karen E. Fowler
Affiliation:
Center for Clinical Management Research, US Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, United States
Jennifer Meddings
Affiliation:
Center for Clinical Management Research, US Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, United States Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, United States Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, United States
Hiromasa Irie
Affiliation:
Department of Anesthesiology, Kurashiki Central Hospital, Okayama, Japan
Daisuke Kawakami
Affiliation:
Department of Anesthesiology, Kobe City Medical Center General Hospital, Hyogo, Japan
Hiroshi Iwasaki
Affiliation:
Critical Care Center, Kobe City Medical Center General Hospital, Hyogo, Japan
Masaaki Sakuraya
Affiliation:
Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hiroshima, Japan
Kohta Katayama
Affiliation:
Department of General Medicine, Mito Kyodo General Hospital, Ibaraki, Japan
Yasuharu Tokuda
Affiliation:
Muribushi Okinawa for Teaching Hospitals, Okinawa, Japan
Sanjay Saint
Affiliation:
Center for Clinical Management Research, US Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, United States Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, United States
*
Author for correspondence: Akira Kuriyama, MD, MPH, Emergency and Critical Care Center, Kurashiki Central Hospital, 1-1-1 Miwa Kurashiki Okayama 710-8602 Japan. Email: akira.kuriyama.jpn@gmail.com
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Abstract

We conducted a preintervention–postintervention study to assess the effectiveness of a multimodal approach to reduce unnecessary urethral catheters in 5 Japanese intensive care units. After the intervention urethral catheter point prevalence decreased by 18%, from 79% preintervention to 61% postintervention, and catheter appropriateness increased by 28%, from 57% preintervention to 85% postintervention.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 11 , November 2019 , pp. 1272 - 1274
Creative Commons
This work is classified, for copyright purposes, as a work of the U.S. Government and is not subject to copyright protection within the United States.
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved.

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References

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