Chung Shan Medical University Hospital, Taiwan
Yi-Hui Sung has completed her Master in the National Changhua University of Education at 2005. She has been working for Chung Shan Medical University Hospital in Taiwan for16 years. She is Supervisor of the Department of Intensive Care and Lecture of School of Nursing, Chung Shan Medical University. Now, she is a PhD-student at the China Medical University, Taiwan.
Background & Problems: The catheter associated urinary tract infection (CAUTI) was the number one of health care associated infection. The literature emphasize to implement bundle care that may reduce catheter-related infections. The CAUTI bundle care containing urinary catheter placement and daily care. The urinary catheter placement complete rate was 58.3% and urinary catheter daily care complete rate was only 44.2% in our unit. Purpose: We design a project to enhance of bundle care complete rate on CAUTI above 90%. Resolution: Project period is February 2013 to January 2014. The strategy included developing urinary catheter evaluation sheet, urinary catheter indwelling day board, providing education on bundle care, change the bag hanging place, and additional catheters of various sizes. Results: The urinary catheter placement complete rate was 93.3%, the urinary catheter daily care complete rate was 95.8%, and reducing catheter urinary tract infections from 3.94 ‰ 1.47 ‰ after project implement. Conclusions: To enhance of bundle care complete rate can reducing catheter-related infections, and improving critical care quality.