Accuracy of a urinary catheter surveillance protocol
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 revi...
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| Veröffentlicht in: | American journal of infection control 2012-02, Vol.40 (1), p.55-58 |
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| creator | Burns, Allison C., BS Petersen, Nancy J., PhD Garza, Armandina, BS Arya, Monisha, MD, MPH Patterson, Jan E Naik, Aanand D., MD Trautner, Barbara W., MD, PhD |
| description | 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. |
| doi_str_mv | 10.1016/j.ajic.2011.04.006 |
| format | Article |
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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.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2011.04.006</identifier><identifier>PMID: 21813209</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Accuracy ; Bacterial diseases ; Bacterial diseases of the urinary system ; Biological and medical sciences ; Catheter-associated urinary tract infection ; Catheter-Related Infections - prevention & control ; Catheters ; Chart review ; Data Collection - methods ; Epidemiologic Methods ; Epidemiology. Vaccinations ; General aspects ; Health Services Research ; Hospitals ; Human bacterial diseases ; Humans ; Infection ; Infection Control ; Infectious Disease ; Infectious diseases ; Medical sciences ; Nephrology. Urinary tract diseases ; Nosocomial infections ; Time Factors ; Urinary Catheterization - adverse effects ; Urinary Catheterization - methods ; Urinary Catheterization - utilization ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract diseases ; Urinary Tract Infections - prevention & control ; Urinary tract. Prostate gland</subject><ispartof>American journal of infection control, 2012-02, Vol.40 (1), p.55-58</ispartof><rights>2012</rights><rights>2015 INIST-CNRS</rights><rights>Published by Mosby, Inc.</rights><rights>Copyright Mosby-Year Book, Inc. Feb 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-71ddc802ffadde0323b2423e4f8ffd5579d9a1a4204402c9812708e14a9036093</citedby><cites>FETCH-LOGICAL-c500t-71ddc802ffadde0323b2423e4f8ffd5579d9a1a4204402c9812708e14a9036093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2011.04.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25588510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21813209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burns, Allison C., BS</creatorcontrib><creatorcontrib>Petersen, Nancy J., PhD</creatorcontrib><creatorcontrib>Garza, Armandina, BS</creatorcontrib><creatorcontrib>Arya, Monisha, MD, MPH</creatorcontrib><creatorcontrib>Patterson, Jan E</creatorcontrib><creatorcontrib>Naik, Aanand D., MD</creatorcontrib><creatorcontrib>Trautner, Barbara W., MD, PhD</creatorcontrib><title>Accuracy of a urinary catheter surveillance protocol</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>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.</description><subject>Accuracy</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the urinary system</subject><subject>Biological and medical sciences</subject><subject>Catheter-associated urinary tract infection</subject><subject>Catheter-Related Infections - prevention & control</subject><subject>Catheters</subject><subject>Chart review</subject><subject>Data Collection - methods</subject><subject>Epidemiologic Methods</subject><subject>Epidemiology. Vaccinations</subject><subject>General aspects</subject><subject>Health Services Research</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection</subject><subject>Infection Control</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nosocomial infections</subject><subject>Time Factors</subject><subject>Urinary Catheterization - adverse effects</subject><subject>Urinary Catheterization - methods</subject><subject>Urinary Catheterization - utilization</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract diseases</subject><subject>Urinary Tract Infections - prevention & control</subject><subject>Urinary tract. Prostate gland</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kktrFEEQgBtRzCb6BzzIIIheZqzq10xDEEKIDwh4UM9Np7sGe5zdid0zgf339rBrhBxyqstXr6-KsVcIDQLqD0PjhugbDogNyAZAP2EbVLytBTf6KdsAGl1rpcQJO815AAAjtHrOTjh2KDiYDZMX3i_J-X019ZWrlhR3Lu0r7-ZfNFOq8pLuKI6j23mqbtM0T34aX7BnvRszvTzGM_bz09WPyy_19bfPXy8vrmuvAOa6xRB8B7zvXQgEgosbLrkg2Xd9H5RqTTAOneQgJXBvOuQtdITSGRC6zHrG3h3qlsZ_Fsqz3cbsaZ2GpiVbg8YoLvRKvn-UxLJ3qS_bFX3zAB2mJe3KHtZwbJWRXBeIHyCfppwT9fY2xW0xYxHsKt8OdpVvV_kWpC3yS9LrY-XlZkvhPuWf7QK8PQIuezf2qViN-T-nVNcphMKdHzgqcu8iJZt9pHKBEBP52YYpPj7Hxwfpfoy7WDr-pj3l-3XRZm7Bfl_fZP0SRChHMlL8BfbJtCc</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Burns, Allison C., BS</creator><creator>Petersen, Nancy J., PhD</creator><creator>Garza, Armandina, BS</creator><creator>Arya, Monisha, MD, MPH</creator><creator>Patterson, Jan E</creator><creator>Naik, Aanand D., MD</creator><creator>Trautner, Barbara W., MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Accuracy of a urinary catheter surveillance protocol</title><author>Burns, Allison C., BS ; Petersen, Nancy J., PhD ; Garza, Armandina, BS ; Arya, Monisha, MD, MPH ; Patterson, Jan E ; Naik, Aanand D., MD ; Trautner, Barbara W., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-71ddc802ffadde0323b2423e4f8ffd5579d9a1a4204402c9812708e14a9036093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Accuracy</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the urinary system</topic><topic>Biological and medical sciences</topic><topic>Catheter-associated urinary tract infection</topic><topic>Catheter-Related Infections - prevention & control</topic><topic>Catheters</topic><topic>Chart review</topic><topic>Data Collection - methods</topic><topic>Epidemiologic Methods</topic><topic>Epidemiology. Vaccinations</topic><topic>General aspects</topic><topic>Health Services Research</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infection</topic><topic>Infection Control</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nosocomial infections</topic><topic>Time Factors</topic><topic>Urinary Catheterization - adverse effects</topic><topic>Urinary Catheterization - methods</topic><topic>Urinary Catheterization - utilization</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract diseases</topic><topic>Urinary Tract Infections - prevention & control</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Burns, Allison C., BS</creatorcontrib><creatorcontrib>Petersen, Nancy J., PhD</creatorcontrib><creatorcontrib>Garza, Armandina, BS</creatorcontrib><creatorcontrib>Arya, Monisha, MD, MPH</creatorcontrib><creatorcontrib>Patterson, Jan E</creatorcontrib><creatorcontrib>Naik, Aanand D., MD</creatorcontrib><creatorcontrib>Trautner, Barbara W., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Burns, Allison C., BS</au><au>Petersen, Nancy J., PhD</au><au>Garza, Armandina, BS</au><au>Arya, Monisha, MD, MPH</au><au>Patterson, Jan E</au><au>Naik, Aanand D., MD</au><au>Trautner, Barbara W., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of a urinary catheter surveillance protocol</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>40</volume><issue>1</issue><spage>55</spage><epage>58</epage><pages>55-58</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21813209</pmid><doi>10.1016/j.ajic.2011.04.006</doi><tpages>4</tpages></addata></record> |
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| subjects | Accuracy Bacterial diseases Bacterial diseases of the urinary system Biological and medical sciences Catheter-associated urinary tract infection Catheter-Related Infections - prevention & control Catheters Chart review Data Collection - methods Epidemiologic Methods Epidemiology. Vaccinations General aspects Health Services Research Hospitals Human bacterial diseases Humans Infection Infection Control Infectious Disease Infectious diseases Medical sciences Nephrology. Urinary tract diseases Nosocomial infections Time Factors Urinary Catheterization - adverse effects Urinary Catheterization - methods Urinary Catheterization - utilization Urinary system involvement in other diseases. Miscellaneous Urinary tract diseases Urinary Tract Infections - prevention & control Urinary tract. Prostate gland |
| title | Accuracy of a urinary catheter surveillance protocol |
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