The CAUTI Emergency Department Improvement Intervention What is the On the CUSP: STOP CAUTI ED Improvement Intervention? Expanding the reach of the On the CUSP: STOP CAUTI national collaborative Instilling a culture of partnership between emergency departments and in-patient units Broadening exposure to national experts American College of Emergency Physicians (ACEP) Emergency Nurses Association (ENA)
ED Improvement Intervention Goals Learning best practice techniques for CAUTI Prevention: Technical change (Process): Determine catheter appropriateness Preventing unnecessary placement Promoting compliance with institutional guidelines Promoting proper insertion techniques Culture change (CUSP): Teamwork and communication amongst frontline staff Identify nurse and physician champions for leadership and buy-in Collaboration with in-patient units
ED Improvement Intervention Resources National project support includes: Comprehensive ED Tool Kit with customizable resources Educational events: National expert presentations Coaching support by the National Project Team In-person training opportunities Data collection and analysis ED Tool Kit resource example: ED CAUTI Prevention Guidelines
CAUTI ED Metrics Required ED metrics: Number of admits from the ED, including observation patients Number of admits from the ED, including observation patients with a newly placed indwelling catheter in the ED Required ED metrics will be entered in the HRET Comprehensive Data System (CDS) Additional recommended ED metrics: Catheter appropriateness (Tools available in the ED toolkit) Total number of indwelling catheters placed in the ED All additional metrics and data collection processes will be determined by each ED Consider adding outcomes and equations keeping hospital unit in mind.
CAUTI ED Data Collection Recommended Data Collection Schedule: 14 consecutive days baseline 14 consecutive days implementation 14 non-consecutive days sustainability within a quarter Duration of ED component still to be determined CDS Registration : Please refer to the CDS Quick Guide located on the project website: http://www.onthecuspstophai.org/on-the-cuspstop-cauti/toolkits-and-resources/emergency-department-improvement-intervention/