Farmington Hills, Mich., July 29, 2008 – Botsford Hospital in Farmington Hills has succeeded in reducing the number of patients with unnecessary Foley catheters*. It is expected that fewer patients will suffer from hospital-acquired infections (HAI) from indwelling catheter use. Botsford voluntarily joined a collaborative to help improve patient care that can lead to saving lives.
Last October, the hospital launched its participation in the Michigan Health & Hospital Association Keystone: Hospital-Acquired Infection Initiative: Catheter-Associated Urinary Tract Infection (MHA HAI CAUTI). This project is an outgrowth of Keystone ICU that began at Johns Hopkins Hospital in Baltimore, Maryland.
Botsford’s interdepartmental team -- drawn from the Infection Control and Nursing, including staff members from two patient units, as well as Amy Brode, D.O., a Botsford urologist -- that worked on this project reviewed published articles and research on Foley catheters from the Centers for Disease Control and Prevention and other hospitals. Three salient points became clear: 1) bedside nurses want to become involved as patient advocates, 2) long-term Foley catheter use leads to high infection rates and 3) Long-term use of these catheters also leads to huge costs associated with treating patients’ infections and their subsequent increased lengths of stay.
Botsford’s 5 South Nursing Unit, which is a 34-bed medical/surgical unit, piloted the project at the hospital with great results, including:
“The pilot on our 5-South Unit went really well,” comments Janet Moody, RN, Infection Control Coordinator at Botsford Hospital. “Even after the pilot ended, our Foley catheter use continues to decline and attention remains focused on appropriate catheter use. Building on this success, we’re rolling out the project to our remaining medical/surgical nursing units.”
In February, Diane Lenk, RN, Clinical Nurse Specialist in Wound Care at Botsford, presented Botsford Hospital’s results to the MHA HAI CAUTI. Lenk shared the hospital’s printed materials with other interested hospitals, many of which are now employing strategies and materials developed at Botsford.
Botsford Hospital, a 330-bed community hospital in Farmington Hills, Mich., was founded in 1965. Nationally recognized for quality, safety and medical education programs, Botsford received the 2006 Governor’s Award for Improving Patient Safety and Quality of Care in the Hospital Setting and, in 2007, a three-year recertification as a Chest Pain Center from the Society of Chest Pain Centers. Botsford’s web address is www.botsford.org.
*A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine.
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