The application effect of catheter management software in emergency intensive care unit
10.3760/cma.j.jssn.1673-4904.2016.11.005
- VernacularTitle:留置导尿主动管理软件在急诊重症监护病房的应用效果分析
- Author:
Chaohui JI
;
Huibin PAN
;
Xiaoyue ZOU
;
Xianquan HU
;
Haoxu ZHU
;
Chunmiao ZHONG
;
Xiaohong WEN
- Publication Type:Journal Article
- Keywords:
Urinary catheterization;
Intensive care units;
Management software;
Catheter-associated urinary tract infection
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(11):976-980
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the application effect of the catheter management software on the management of Indwelling urinary catheter in the Emergency intensive care unit (EICU). Methods A prospective control study of targeted surveillance of catheter-associated urinary tract infection was conducted from January 2014 to December 2015 in EICU. The patients were divided into two groups. The patients in control group (131 patients) were treated from January 1, 2014 to December 31, 2014 and received routine catheter management, and the patients in test group (135 patients) were treated from January 1, 2015 to December 31, 2015, and received catheter management by software. The catheter management software was developed and applied, and the process specification which collaborated with the software was established. The quality of the catheter management including the omission rate of the catheter management, the rate of urinary catheter-associated urinary tract infections (CAUTI) and the rate of catheter used etc were evaluated after the software's application. Results Through software applications, the omission rate of the catheter management, the omission rate of urine drainage bag replacementand the omission rate of urinary catheter replacement in test group were significantly lower than those in control group:0 vs. 36.64%(48/131), 0 vs. 15.27%(20/131) and 0 vs. 9.92%(13/131), P<0.01 or<0.05. The performance rate of catheter daily management in test group was significantly higher than that in control group: 99.26%(134/135) vs. 64.12%(84/131), P<0.01. The rate of CAUTI in test group was significantly lower than that in control group: 1.90‰ vs. 9.16‰, χ2=4.843, P=0.028. The rate of catheter used in test group was significantly lower than that in control group: 60.74%(82/135) vs. 73.28%(96/131), P<0.01. Conclusions The development and the establishment of the management software can improve the rate of implement, and declinethe rate of CAUTI.
