Impact of Introducing External Urinary Devices on Reducing Indwelling Urinary Catheter Days - A Quality Improvement Initiative at a Midwestern Academic Medical Center.

External urinary device (EUD) use and modification of the Electronic Medical Record (EMR) system with defaulting EUD for selected indications significantly decreased the utilization of indwelling urinary catheters while there was no observed significant reduction in Catheter-Associated Urinary Tract Infections (CAUTI). The introduction of EUD alone may not decrease CAUTI and a comprehensive approach involving various strategies from different perspectives will be necessary, particularly diagnostic stewardship.

American journal of infection control. 2024 Sep 02 [Epub ahead of print]

Kelly Poch, Alexandra Trannel, Nicole Wiltfang, Elizabeth Billing, Oluchi Abosi, Takaaki Kobayashi, Karen Brust

Department of Nursing, University of Iowa Health Care, Iowa City, Iowa, USA., Quality Improvement Program, University of Iowa Health Care, Iowa City, Iowa, USA., Quality Improvement Program, University of Iowa Health Care, Iowa City, Iowa, USA; University of Iowa Carver College of Medicine, Iowa City, Iowa, USA., Quality Improvement Program, University of Iowa Health Care, Iowa City, Iowa, USA; University of Iowa Carver College of Medicine, Iowa City, Iowa, USA. Electronic address: .