Journal of Aging Science

Abstract

The Best Recommendation Plan to Reduce Foley’s Catheter Associated Urinary Tract Infection in Elderly Patients under Home Health Care Services

Hanadi Khamis Al Hamad, Essa Al Sulaiti, Navas Nadukkandiyil and Maryam Al Obaidely

Objective: To develop and implement an innovative change, in the form of a physical reminder sticker protocol, to mitigate the high incidence of CAUTI in the elderly home care patient population at GLTD.

Methods: A comprehensive literature review was conducted that served to provide a robust evidence base to add assure the implementation programme was grounded in an evidence-based approach. Said literature review also added to steps identified for a facility-wide change implementation. Change management strategies were identified herein. A comprehensive implementation plan, developed in accord with the IHI Model for Improvement was presented.

Evaluation: A variety of evaluation strategies and methodologies were identified to assess baseline data, interim data, and data results of a pilot implementation, short-term post-implementation results, and long-term postimplementation strategies.

Discussion: Implications for the organisation and clinical setting were discussed. Recommendations for a robust Phase 2 were presented. Project strengths and weaknesses were discussed.

Results: There were a total of 80 patients with catheter under HHCS in the beginning of the project. In the first three months on implementing the CAUTI program there was a significant decreases in the number of patients, from 80 it dropped to 60 a decrease of 25 %. The second phase saw a sharp decrease; the catheter was removed from 60 % of the patients. It was 10 percentage more than the anticipated by 50% by the end of March 2015.