Qualitative validation of the CAUTI Guide to Patient Safety assessment tool. Am J Infect Control 2016 Oct 01;44(10):1102-1109
Date
06/25/2016Pubmed ID
27339790DOI
10.1016/j.ajic.2016.03.051Scopus ID
2-s2.0-84995404902 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
BACKGROUND: Hospital-acquired infection, including catheter-associated urinary tract infection (CAUTI), is common. Although CAUTI is usually preventable, hospital units may struggle to reduce CAUTI rates. The CAUTI guide to patient safety (GPS) was developed to assess a unit's CAUTI prevention activities. Our aim was to qualitatively validate the GPS.
METHODS: We interviewed participants from 2 units in each of 4 hospitals. Each unit's nurse manager completed the GPS and then discussed their answers with a trained research assistant. Semistructured interviews were conducted with unit nurses and physicians. We compared the nurse managers' answers to the unit physicians' and nurses' responses and assessed agreement.
RESULTS: A total of 49 participants from 4 medical intensive care units and 4 medical-surgical units were interviewed. Nurse managers found the GPS helpful and complete. There was higher agreement between nurse managers and unit nurses than with physicians. Some questions generated more disagreement than others. Our findings suggest that the GPS is comprehensive and may be best used to stimulate discussions between stakeholders to address key issues.
CONCLUSIONS: Using the GPS to assess several stakeholders' views could allow a given unit to move its CAUTI prevention efforts forward in a more informed manner.
Author List
Fletcher KE, Tyszka JT, Harrod M, Fowler KE, Saint S, Krein SLAuthor
Kathlyn E. Fletcher MD Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Catheter-Related InfectionsCross Infection
Hospitals
Humans
Infection Control
Intensive Care Units
Nurses
Patient Safety
Physicians
Risk Assessment
Urinary Tract Infections
