RT Journal
A1 Mourad M, Auerbach A
T1 Improving use of the “other” catheter: Comment on “reducing inappropriate urinary catheter use”
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2012
FD February 13
VO 172
IS 3
SP 260
OP 261
DO 10.1001/archinternmed.2011.622
UL http://dx.doi.org/10.1001/archinternmed.2011.622
AB 
Despite the apparent simplicity of these guidelines, programs seeking to reduce CAUTI have to overcome well-defined barriers involving health care providers, including (1) lack of knowledge of the criteria for appropriate urinary catheter use; (2) failure to recognize that a urinary catheter is present, particularly if the catheter was placed elsewhere; and (3) failure to remove the catheter at the appropriate time. Bedside placards, computer reminders, and automatic stop orders have been tried as approaches to improve urinary catheter use. There is substantial evidence supporting the effectiveness of these techniques, termed in combination the bladder bundle.3 Despite the success of these interventions, clinical implementation of these practices remains low. Urinary catheter reminders or a stop order to prevent CAUTI are used in fewer than 1 in 10 US hospitals.4 These findings speak to the complexity of translating these best practices into successful, sustainable interventions.