Brief Report| Volume 45, ISSUE 3, P333-335, March 01, 2017

“Lose the Tube”: A Choosing Wisely initiative to reduce catheter-associated urinary tract infections in hospitalist-led inpatient units

Published:December 02, 2016DOI:


      • A multifaceted intervention to reduce catheter-associated urinary tract infections is described.
      • The intervention entailed an electronic health record tool to identify urinary catheter use, daily interdisciplinary round queries on catheter necessity to clinicians, and provider education.
      • Mean catheter days, catheter-associated urinary tract infection rates, and cost were reduced.
      We developed a multidisciplinary initiative, “Lose the Tube,” focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.

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