{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T10:32:30Z","timestamp":1786444350224,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Traumatic catheter removal (TCR) occurs when a urinary catheter is removed with the balloon inflated, causing urethral injury. We aim to identify cases of TCR, determine at\u2010risk populations and describe outcomes and interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective medical record review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EMERSE, a natural language processing tool, was used to identify cases of TCR in a large academic hospital (2014\u20132024). Charts were reviewed for demographics, causes and outcomes of TCR. Descriptive statistics and chi\u2010square analyses were run for comparison of categorical variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 198 patients, average age was 68, and 86% (170) were male. Patients removed their own catheter in 75% of TCRs; staff removed the catheter incorrectly in 22% of cases. 65 patients experienced an escalation of care after TCR. 156 patients had gross haematuria, requiring manual irrigation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931, 20%), continuous bladder irrigation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912, 8%), or surgical clot evacuation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093, 2%). 21 patients had a catheter\u2010associated UTI after TCR. 31 patients had repeated TCRs. Patients with altered mental status were more likely to have repeat TCR. Prevention mechanisms included sedating medications (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), patient sitters (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200929), restraints (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928), hand mitts (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) and decoy catheters (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). Sedating medications were associated with less repeat TCR events, while restraints and patient sitters were not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Implications for the Profession and Patient Care<\/jats:title>\n                    <jats:p>TCR has been historically difficult to characterize due to lack of diagnosis code and inconsistent reporting. In this study, a surprising number of TCR events occurred when hospital staff removed patients' catheters. These instances could be decreased with targeted education on the safe removal of catheters. Sedating medications were associated with fewer repeat TCR events. Restraints and patient supervision were not, indicating that they may not be effective prevention mechanisms. Further research is needed to identify optimal education and patient\u2010centred interventions to prevent TCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70501","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T09:51:06Z","timestamp":1786441866000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic Catheter Removal\u2010 At\u2010Risk Populations, Outcomes and Prevention: A Retrospective Medical Record Review"],"prefix":"10.1111","author":[{"given":"Casey","family":"Brodsky","sequence":"first","affiliation":[{"name":"Department of Urology\u20132799 W. Grand Blvd. Henry Ford Health System  Detroit Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Meguid","sequence":"additional","affiliation":[{"name":"Department of Urology\u2013500 E. Medical Center Dr. University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Shami","sequence":"additional","affiliation":[{"name":"Department of Urology\u2013500 E. Medical Center Dr. University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6302-5502","authenticated-orcid":false,"given":"Sarah K.","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Urology\u20131959 NE Pacific St. University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Tryon","sequence":"additional","affiliation":[{"name":"Department of Urology\u2013445 Lenox Road The State University of New York, Downstate  Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Murphy","sequence":"additional","affiliation":[{"name":"Division of Urology\u20134590 Nash Way Washington University  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Chrouser","sequence":"additional","affiliation":[{"name":"Department of Urology\u2013500 E. Medical Center Dr. University of Michigan  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2847-5062","authenticated-orcid":false,"given":"John L.","family":"Gore","sequence":"additional","affiliation":[{"name":"Department of Urology\u20131959 NE Pacific St. University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0158-4426","authenticated-orcid":false,"given":"Tova L.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Division of Urology\u20134590 Nash Way Washington University  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ncq.0000000000000613"},{"key":"e_1_2_13_3_1","volume-title":"ICU Delirium","author":"Ali M.","year":"2024"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2008.13.11.31521"},{"issue":"3","key":"e_1_2_13_5_1","first-page":"251","article-title":"Urinary Catheter Management","volume":"110","author":"Fletke K. 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