{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:11:41Z","timestamp":1767831101045,"version":"3.49.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T00:00:00Z","timestamp":1446508800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec id=\"S0899823X15002676_abs1\" sec-type=\"general\"><jats:title>BACKGROUND<\/jats:title><jats:p>Existing knowledge of emergency department (ED) catheter-associated urinary tract infection (CAUTI) prevention is limited. We aimed to describe the motivations, perceived risks for CAUTI acquisition, and strategies used to address CAUTI risk among EDs that had existing CAUTI prevention programs.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15002676_abs2\" sec-type=\"methods\"><jats:title>METHODS<\/jats:title><jats:p>In this qualitative comparative case study, we enrolled early-adopting EDs, that is, those using criteria for urinary catheter placement and tracking the frequency of catheters placed in the ED. At 6 diverse facilities, we conducted 52 semistructured interviews and 9 focus groups with hospital and ED participants.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15002676_abs3\" sec-type=\"results\"><jats:title>RESULTS<\/jats:title><jats:p>All ED CAUTI programs originated from a hospitalwide focus on CAUTI prevention. Staff were motivated to address CAUTI because they believed program compliance improved patient care. ED CAUTI prevention was perceived to differ from CAUTI prevention in the inpatient setting. To identify areas of ED CAUTI prevention focus, programs examined ED workflow and identified 4 CAUTI risks: (1) inappropriate reasons for urinary catheter placement; (2) physicians\u2019 limited involvement in placement decisions; (3) patterns of urinary catheter overuse; and (4) poor insertion technique. Programs redesigned workflow to address risks by (1) requiring staff to specify the medical reason for catheter at the point of order entry and placement; (2) making physicians responsible for determining catheter use; (3) using catheter alternatives to address patterns of overuse; and (4) modifying urinary catheter insertion practices to ensure proper placement.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X15002676_abs4\" sec-type=\"conclusions\"><jats:title>CONCLUSIONS<\/jats:title><jats:p>Early-adopting EDs redesigned workflow to minimize catheter use and ensure proper insertion technique. Assessment of ED workflow is necessary to identify and modify local practices that may increase CAUTI risk.<\/jats:p><jats:p><jats:italic>Infect. Control Hosp. Epidemiol.<\/jats:italic> 2016;37(2):156\u2013162<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2015.267","type":"journal-article","created":{"date-parts":[[2015,11,3]],"date-time":"2015-11-03T08:50:18Z","timestamp":1446540618000},"page":"156-162","source":"Crossref","is-referenced-by-count":16,"title":["Emergency Department Catheter-Associated Urinary Tract Infection Prevention: Multisite Qualitative Study of Perceived Risks and Implemented Strategies"],"prefix":"10.1017","volume":"37","author":[{"given":"Eileen J.","family":"Carter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Pallin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Mandel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corine","family":"Sinnette","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremiah D.","family":"Schuur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,11,3]]},"reference":[{"key":"S0899823X15002676_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.02.024"},{"key":"S0899823X15002676_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2012.07.022"},{"key":"S0899823X15002676_ref17","unstructured":"Fact sheets: CMS final rule to improve quality of care during hospital inpatient stays. Centers for Medicare and Medicaid Services website. http:\/\/www.cms.gov\/newsroom\/mediareleasedatabase\/fact-sheets\/2013-fact-sheets-items\/2013-08-02-3.html. Published 2013. Accessed July 14, 2014."},{"key":"S0899823X15002676_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.02.013"},{"key":"S0899823X15002676_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.01.026"},{"key":"S0899823X15002676_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(09)35062-X"},{"key":"S0899823X15002676_ref19","first-page":"CD000259","article-title":"Audit and feedback: effects on professional practice and health care outcomes","author":"Jamtvedt","year":"2006","journal-title":"Cochrane Database Syst Revs"},{"key":"S0899823X15002676_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"S0899823X15002676_ref9","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2011-130287"},{"key":"S0899823X15002676_ref3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1204431"},{"key":"S0899823X15002676_ref14","unstructured":"ED Infection Prevention Practices Survey. Brigham and Women\u2019s Hospital, Department of Emergency Medicine, Harvard Medical School website. http:\/\/edip.bwh.harvard.edu\/projects\/ed-infection-prevention-practices-survey\/. Published 2012. Accessed July 14, 2014."},{"key":"S0899823X15002676_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2009.04.017"},{"key":"S0899823X15002676_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2010.04.219"},{"key":"S0899823X15002676_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"S0899823X15002676_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12334"},{"key":"S0899823X15002676_ref1","doi-asserted-by":"publisher","DOI":"10.1086\/657912"},{"key":"S0899823X15002676_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2013.09.006"},{"key":"S0899823X15002676_ref20","unstructured":"Geography: Urban and Rural Classification. U.S. Census Bureau website. https:\/\/www.census.gov\/geo\/reference\/urban-rural.html. Published 2015. Accessed September 10, 2015."},{"key":"S0899823X15002676_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2009.00677.x"},{"key":"S0899823X15002676_ref8","volume-title":"Case Study Research Design and Methods","author":"Yin","year":"2014"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X15002676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T22:59:58Z","timestamp":1555714798000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X15002676\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,3]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["S0899823X15002676"],"URL":"https:\/\/doi.org\/10.1017\/ice.2015.267","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,3]]}}}