Urinary tract infection is one of the most common healthcare-associated infections (HAIs) in long-term care residents, and residents with indwelling urinary catheters are at increased risk. Pennsylvania facilities reported 1,079 catheter-associated urinary tract infections (CAUTIs) in 2015. CAUTI places long-term care residents at risk for sepsis and hospitalization, and the use of antibiotics to treat CAUTI can lead to the growth of drug-resistant organisms. Bacteria can enter the urinary system through external or internal surfaces of a urinary catheter. The Pennsylvania Patient Safety Authority participated in the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Long-Term Care: HAIs/CAUTI project to promote safety by reducing the incidence of CAUTI. The project used evidence-based practices to prevent CAUTI and provided methods for facilities to sustain and enhance safety. Despite an insignificant reduction in catheter utilization, the use of process improvement tools and educational offerings in the project was associated with an encouraging reduction in CAUTI at participating Pennsylvania facilities. These facilities were invited to participate in a survey to assess the success of the project and the value of the process improvement tools provided.
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