ブックタイトルカテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

概要

カテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

b) Compliance with documentation of catheter insertion and removal dates: Conductrandom audits of selected units and calculate compliance rate:? Numerator: number of patients on unit with catheters with properdocumentation of insertion and removal dates? Denominator: number of patients on the unit with a catheter in place at somepoint during admission? Standardization factor: 100 (i.e., multiply by 100 so that measure is expressedas a percentage)c) Compliance with documentation of indication for catheter placement: Conductrandom audits of selected units and calculate compliance rate? Numerator: number of patients on unit with catheters with properdocumentation of indication? Denominator: number of patients on the unit with catheter in place? Standardization factor: 100 (i.e., multiply by 100 so that measure is expressedas a percentage)2. Recommended outcome measures:a) Rates of CAUTI: Use NHSN definitions (see http://www.cdc.gov/nhsn/library.html).Measurement of rates allows an individual facility to gauge the longitudinal impact ofimplementation of prevention strategies:? Numerator: number of CAUTIs in each location monitored? Denominator: total number of urinary catheter-days for all patients that have anindwelling urinary catheter in each location monitored? Standardization factor: Multiply by 1000 so that the measure is expressed ascases per 1000 catheter-daysb) Rate of bloodstream infections secondary to CAUTI: Use NHSN definitions forlaboratory-confirmed bloodstream infection, available athttp://www.cdc.gov/nhsn/library.html.? Numerator: number of episodes of bloodstream infections secondary to CAUTI? Denominator: total number of urinary catheter-days for all patients that have anindwelling urinary catheter in each location monitored? Standardization factor: Multiply by 1000 so that the measure is expressed ascases per 1000 catheter-days原文B. External Reporting. Current NHSN definitions for CAUTI were developed for monitoring ofrates within a facility; however, reporting of CAUTI rates for facility-to-facility comparisonmight be requested by state requirements and external quality initiatives.68 < 原文 > III. Implementation and Audit