Accuracy of a urinary catheter surveillance protocol

Allison C. Burns; Nancy J. Petersen; Armandina Garza; Monisha Arya; Jan E. Patterson; Aanand D. Naik; Barbara W. Trautner

doi:10.1016/j.ajic.2011.04.006

Accuracy of a urinary catheter surveillance protocol

Allison C. Burns, Nancy J. Petersen, Armandina Garza, Monisha Arya, Jan E. Patterson, Aanand D. Naik, Barbara W. Trautner

Department of Medicine

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Background: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter device-days. However, device-days are usually obtained by chart review or nursing reports. The aim of this study was to demonstrate that chart review can provide accurate urinary catheter data compared with physical inspection of the urinary catheter at the bedside. Methods: We compared 2 methods for collecting urinary catheter data over a 6-month period on 10 wards at our VA hospital. For the chart reviews, we created a daily bed-occupancy roster from the electronic medical record. Catheter data were extracted from the daily progress notes for each patient using a standardized review process. Bedside reviews were conducted by visiting the ward and verifying the presence and type of urinary catheters. Agreement between the 2 methods was calculated. Results: We obtained urinary catheter data by both methods in 621 cases. The presence or type of urinary catheter differed between chart and bedside review in only 10 cases (1.6%). Chart review had a sensitivity of 100%, a specificity of 97.7%, raw agreement of 98.4%, and a κ value of 0.96. Conclusions: Individual chart review in the electronic medical record provided very accurate data on urinary catheter use.

Original language	English (US)
Pages (from-to)	55-58
Number of pages	4
Journal	American Journal of Infection Control
Volume	40
Issue number	1
DOIs	https://doi.org/10.1016/j.ajic.2011.04.006
State	Published - Feb 2012

Keywords

Catheter-associated urinary tract infection
Chart review
Infection
Infection control

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Infectious Diseases
Health Policy
Epidemiology

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10.1016/j.ajic.2011.04.006

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@article{d8798f503c144aaeb49352d9026cf3f1,

title = "Accuracy of a urinary catheter surveillance protocol",

abstract = "Background: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter device-days. However, device-days are usually obtained by chart review or nursing reports. The aim of this study was to demonstrate that chart review can provide accurate urinary catheter data compared with physical inspection of the urinary catheter at the bedside. Methods: We compared 2 methods for collecting urinary catheter data over a 6-month period on 10 wards at our VA hospital. For the chart reviews, we created a daily bed-occupancy roster from the electronic medical record. Catheter data were extracted from the daily progress notes for each patient using a standardized review process. Bedside reviews were conducted by visiting the ward and verifying the presence and type of urinary catheters. Agreement between the 2 methods was calculated. Results: We obtained urinary catheter data by both methods in 621 cases. The presence or type of urinary catheter differed between chart and bedside review in only 10 cases (1.6%). Chart review had a sensitivity of 100%, a specificity of 97.7%, raw agreement of 98.4%, and a κ value of 0.96. Conclusions: Individual chart review in the electronic medical record provided very accurate data on urinary catheter use.",

keywords = "Catheter-associated urinary tract infection, Chart review, Infection, Infection control",

author = "Burns, {Allison C.} and Petersen, {Nancy J.} and Armandina Garza and Monisha Arya and Patterson, {Jan E.} and Naik, {Aanand D.} and Trautner, {Barbara W.}",

note = "Funding Information: The research reported here was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service IIR 09-104 . Also partly supported by the VA HSR&D Houston Center of Excellence (HFP90-020). The views expressed are those of the authors and do not necessarily represent those of the Department of Veterans Affairs/Baylor College of Medicine. B.W.T. is a physician investigator at the Michael E. DeBakey VA Medical Center Health Services Research and Development Center of Excellence, Houston, Texas. She is also supported by a VA Career Development Award from RR&D ( B4623 ). A.D.N. is supported by the National Institute of Aging ( K23AG027144 ) and the Doris Duke Charitable Foundation . ",

year = "2012",

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doi = "10.1016/j.ajic.2011.04.006",

language = "English (US)",

volume = "40",

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T1 - Accuracy of a urinary catheter surveillance protocol

AU - Burns, Allison C.

AU - Petersen, Nancy J.

AU - Garza, Armandina

AU - Arya, Monisha

AU - Patterson, Jan E.

AU - Naik, Aanand D.

AU - Trautner, Barbara W.

N1 - Funding Information: The research reported here was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service IIR 09-104 . Also partly supported by the VA HSR&D Houston Center of Excellence (HFP90-020). The views expressed are those of the authors and do not necessarily represent those of the Department of Veterans Affairs/Baylor College of Medicine. B.W.T. is a physician investigator at the Michael E. DeBakey VA Medical Center Health Services Research and Development Center of Excellence, Houston, Texas. She is also supported by a VA Career Development Award from RR&D ( B4623 ). A.D.N. is supported by the National Institute of Aging ( K23AG027144 ) and the Doris Duke Charitable Foundation .

PY - 2012/2

Y1 - 2012/2

N2 - Background: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter device-days. However, device-days are usually obtained by chart review or nursing reports. The aim of this study was to demonstrate that chart review can provide accurate urinary catheter data compared with physical inspection of the urinary catheter at the bedside. Methods: We compared 2 methods for collecting urinary catheter data over a 6-month period on 10 wards at our VA hospital. For the chart reviews, we created a daily bed-occupancy roster from the electronic medical record. Catheter data were extracted from the daily progress notes for each patient using a standardized review process. Bedside reviews were conducted by visiting the ward and verifying the presence and type of urinary catheters. Agreement between the 2 methods was calculated. Results: We obtained urinary catheter data by both methods in 621 cases. The presence or type of urinary catheter differed between chart and bedside review in only 10 cases (1.6%). Chart review had a sensitivity of 100%, a specificity of 97.7%, raw agreement of 98.4%, and a κ value of 0.96. Conclusions: Individual chart review in the electronic medical record provided very accurate data on urinary catheter use.

AB - Background: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter device-days. However, device-days are usually obtained by chart review or nursing reports. The aim of this study was to demonstrate that chart review can provide accurate urinary catheter data compared with physical inspection of the urinary catheter at the bedside. Methods: We compared 2 methods for collecting urinary catheter data over a 6-month period on 10 wards at our VA hospital. For the chart reviews, we created a daily bed-occupancy roster from the electronic medical record. Catheter data were extracted from the daily progress notes for each patient using a standardized review process. Bedside reviews were conducted by visiting the ward and verifying the presence and type of urinary catheters. Agreement between the 2 methods was calculated. Results: We obtained urinary catheter data by both methods in 621 cases. The presence or type of urinary catheter differed between chart and bedside review in only 10 cases (1.6%). Chart review had a sensitivity of 100%, a specificity of 97.7%, raw agreement of 98.4%, and a κ value of 0.96. Conclusions: Individual chart review in the electronic medical record provided very accurate data on urinary catheter use.

KW - Catheter-associated urinary tract infection

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KW - Infection

KW - Infection control

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Accuracy of a urinary catheter surveillance protocol

Abstract

Keywords

ASJC Scopus subject areas

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