Back to Search
Start Over
Improving urinary catheterisation practices in a rural hospital in Ontario
- Source :
- BMJ Open Quality, Vol 9, Iss 1 (2020), BMJ Open Quality
- Publication Year :
- 2020
- Publisher :
- BMJ, 2020.
-
Abstract
- IntroductionA urinary catheter constitutes a one-point patient restraint, can induce deconditioning and may lead to patient mortality. An audit performed at Winchester District Memorial Hospital revealed that 20% of patients had a urinary catheter, of whom 31% did not meet the criteria for catheterisation. The main objective of this study was to use the Influencer Change Model and the Choosing Wisely Canada toolkit to create a bundle of interventions that would reduce the unnecessary use of urinary catheters in hospitalised patients.MethodsIn a rural teaching hospital, a time-series quasi-experiment was employed to decrease inappropriate use of urinary catheters. Both the Choosing Wisely Canada toolkit for appropriate use of urinary catheters and the Influencer change management approach were used to create effective interventions.ResultsThis study revealed that there was no improvement in appropriate urinary catheter use during Plan-Do-Study-Act (PDSA) cycle 1. There was gradual improvement during PDSA cycle 2, with the percentage of inappropriate urinary catheter use dropping from an initial 31% before any interventions to less than 5% by the end of this study.Discussion/conclusionThis study aimed to reduce the inappropriate use of urinary catheters in a rural hospital with limited resources. The findings indicate that by using a change model, such as the Influencer Change Model, it is possible to promote better patient care through empowering healthcare staff to implement accepted protocols more stringently and thereby to decrease the inappropriate use of urinary catheters to 0%.
- Subjects :
- medicine.medical_specialty
Quality management
Leadership and Management
Hospitals, Rural
Urinary system
Psychological intervention
Medical Overuse
Audit
01 natural sciences
quality improvement
03 medical and health sciences
0302 clinical medicine
Deconditioning
Health care
Humans
Medicine
030212 general & internal medicine
0101 mathematics
Intensive care medicine
Quality of Health Care
Original Research
Ontario
lcsh:R5-920
business.industry
Health Policy
010102 general mathematics
Public Health, Environmental and Occupational Health
unnecessary procedures
Hospital medicine
hospital medicine
Catheter-Related Infections
Urinary Catheterization
lcsh:Medicine (General)
business
PDCA
Subjects
Details
- ISSN :
- 23996641
- Volume :
- 9
- Database :
- OpenAIRE
- Journal :
- BMJ Open Quality
- Accession number :
- edsair.doi.dedup.....27a2ec8da60aee8f068413e86c29e9af