{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:19:57Z","timestamp":1781583597077,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T00:00:00Z","timestamp":1378425600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:p>Healthcare\u2010associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter\u2010associated urinary tract infection (CAUTI), one of the most common healthcare\u2010associated infections. Further, since 2008, the Centers for Medicare and Medicaid Services no longer reimburses hospitals for the additional costs of caring for patients who develop CAUTI during hospitalization. Given the resulting payment pressures on hospitals stemming from this decision, it is important to factor in cost implications when attempting to encourage decision makers to support infection prevention measures. To this end, we present a simple tool (with easy\u2010to\u2010use online implementation) that hospitals can use to estimate hospital costs due to CAUTI, both before and after an intervention, to reduce inappropriate urinary catheterization. Using previously published cost and risk estimates, we show that an intervention yielding clinically feasible reductions in catheter use can lead to an estimated 50% reduction in CAUTI\u2010related costs. Our tool is meant to complement the Society of Hospital Medicine's Choosing Wisely campaign, which highlights avoiding placement or continued use of nonindicated urinary catheters as a key area for improving decision making and quality of care while decreasing costs. <jats:italic>Journal of Hospital Medicine<\/jats:italic> 2013;8:519\u2013522. \u00a9 2013 The Authors Journal of Hospital Medicine published by Wiley Periodicals, Inc. on behalf of Society of Hospital Medicine<\/jats:p>","DOI":"10.1002\/jhm.2079","type":"journal-article","created":{"date-parts":[[2013,9,6]],"date-time":"2013-09-06T03:31:22Z","timestamp":1378438282000},"page":"519-522","source":"Crossref","is-referenced-by-count":51,"title":["Estimating hospital costs of catheter\u2010associated urinary tract infection"],"prefix":"10.1002","volume":"8","author":[{"given":"Edward H.","family":"Kennedy","sequence":"first","affiliation":[{"name":"VA Center for Clinical Management Research Ann Arbor VA Health Services Research and Development Center of Excellence Ann Arbor Michigan"},{"name":"Patient Safety Enhancement Program, Department of Internal Medicine University of Michigan Health System Ann Arbor Michigan"},{"name":"Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Todd","family":"Greene","sequence":"additional","affiliation":[{"name":"Patient Safety Enhancement Program, Department of Internal Medicine University of Michigan Health System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Saint","sequence":"additional","affiliation":[{"name":"VA Center for Clinical Management Research Ann Arbor VA Health Services Research and Development Center of Excellence Ann Arbor Michigan"},{"name":"Patient Safety Enhancement Program, Department of Internal Medicine University of Michigan Health System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335490712200205"},{"key":"e_1_2_6_3_1","unstructured":"The direct medical costs of healthcare\u2010associated infections in US hospitals and the benefits of prevention.US Centers for Disease Control and Prevention Web site. Published2009. Available at:http:\/\/www.cdc.gov\/HAI\/pdfs\/hai\/Scott_CostPaper.pdf. Accessed March 24 2013."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-12-200906160-00013"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.622"},{"key":"e_1_2_6_6_1","unstructured":"Choosing Wisely:five things patients and physicians should question. Society of Hospital Medicine. Published2012. Available at:http:\/\/www.hospitalmedicine.org\/AM\/pdf\/SHM\u2010Adult_5things_List_Web.pdf. Accessed March 24 2013."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(00)90015-4"},{"key":"e_1_2_6_8_1","unstructured":"CPI Inflation Calculator.United States Department of Labor Bureau of Labor Statistics Web site. Published2013. Available at:http:\/\/www.bls.gov\/data\/inflation_calculator.htm. 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