Author:
Joseph Lissa Vazhayil,SB Koh Joyce,Yatim Juriyah,Kaysar Dr Mamun,Hendrix Cristina C.
Abstract
Background:
Hip fracture is a major health concern and the use of an indwelling urinary catheter (IUC) constitutes a significant burden on elderly patients undergoing hip fracture surgery.
Local problem:
The institution had a high rate of urinary tract infection (UTI) and IUC reinsertion after hip fracture surgery.
Methods:
A pre/post-implementation design was used for this quality improvement initiative.
Interventions:
A nurse-driven process was developed and implemented to improve the successful removal of IUC among patients after hip fracture surgery.
Results:
There was a significant reduction in post-operative urinary retention (P = .042), UTI rate (P = .047), and IUC reinsertion (P = .042) in the post-implementation group. IUC duration decreased by 1.1 days, however this was not significant (P = .206). Nurse compliance with following the new process was 93.3%.
Conclusion:
The nurse-driven process designed for elderly patients following hip fracture surgery presents a promising approach to reducing IUC reinsertion rates and UTI.
Publisher
Ovid Technologies (Wolters Kluwer Health)