{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:04:59Z","timestamp":1789185899755,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,4,7]],"date-time":"2011-04-07T00:00:00Z","timestamp":1302134400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Indwelling urinary catheter duration is an important risk factor for catheter\u2010associated urinary tract infections (CAUTIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To audit patient\u2010level postoperative catheter duration and measure the impact of its feedback to nursing staff on postoperative catheter duration and CAUTI rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN:<\/jats:title>\n                    <jats:p>Preobservational and postobservational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING:<\/jats:title>\n                    <jats:p>Two surgical units at an urban academic medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PATIENTS:<\/jats:title>\n                    <jats:p>Postoperative patients with indwelling urinary catheters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>INTERVENTION:<\/jats:title>\n                    <jats:p>Audit and feedback of postoperative urinary catheter duration to nurses during an educational session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS:<\/jats:title>\n                    <jats:p>Patient\u2010level postoperative catheter duration obtained from electronic clinical documentation. Mean catheter duration and proportion of patients with postoperative catheter duration &lt;3 days were determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Following the intervention, the mean postoperative catheter duration decreased (1.7\u20101.4 days [\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01] on orthopedic surgery, and 2.6 to 2.2 days [\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01] on general surgery). The proportion of patients with catheter duration &lt;3 days increased significantly on orthopedic surgery (86\u201092% [\n                      <jats:italic>P<\/jats:italic>\n                      = 0.04]), and nonsignificantly on general surgery (56\u201063% [\n                      <jats:italic>P<\/jats:italic>\n                      = 0.14]). When adjusted for length of stay differences, the odds of catheter duration &lt;3 days on general surgery increased from 1.38 (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.14) to 1.69 (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.02). The CAUTI rates did not significantly decrease. The rate on orthopedic surgery dropped from 8.9 infections per 1000 device\u2010days to 0 (confidence interval [CI], \u22121.1 to 18.3); on general surgery the rate was constant at 7 infections per 1000 device\u2010days (CI, \u221212.1 to 10.8).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Audit and feedback of aggregated patient\u2010level urinary catheter duration determined from electronic documentation may prove effective in improving urinary catheter management for surgical patients. Journal of Hospital Medicine 2010;. \u00a9 2010 Society of Hospital Medicine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.846","type":"journal-article","created":{"date-parts":[[2011,4,8]],"date-time":"2011-04-08T01:42:26Z","timestamp":1302226946000},"page":"183-189","source":"Crossref","is-referenced-by-count":15,"title":["Feasibility of audit and feedback to reduce postoperative urinary catheter duration"],"prefix":"10.1002","volume":"6","author":[{"given":"Heidi L.","family":"Wald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Kramer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,4,7]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/148.1.57"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(81)90561-1"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113988"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(00)90015-4"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1995.00430130115012"},{"key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/S0094-0143(21)00276-7","article-title":"Catheter\u2010associated bacteriuria","volume":"13","author":"Schaeffer AJ","year":"1986","journal-title":"Urol Clin North Am."},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-82-3-386"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1086\/524662"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.6.551"},{"key":"e_1_2_6_11_2","first-page":"1185","article-title":"Management of urinary retention after surgical repair of hip fracture","volume":"146","author":"Skelly JM","year":"1992","journal-title":"Can Med Assoc J."},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.1.20"},{"key":"e_1_2_6_13_2","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1177\/000313480607201106","article-title":"The surgical infection prevention and surgical care improvement projects: promises and pitfalls","volume":"72","author":"Bratzler DW","year":"2006","journal-title":"Am Surg."},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(99)70005-2"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-149-7-200810070-00007"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.23.2782"},{"key":"e_1_2_6_17_2","unstructured":"Kaiser Family Foundation. 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