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Implementing a National Program to Reduce Catheter-Associated Urinary Tract Infection: A Quality Improvement Collaboration of State Hospital Associations, Academic Medical Centers, Professional Societies, and Governmental Agencies

Published online by Cambridge University Press:  28 May 2015

Mohamad G. Fakih
St. John Hospital and Medical Center, Detroit, Michigan
Christine George
Michigan Health and Hospital Association, Lansing, Michigan
Barbara S. Edson
Health Research and Educational Trust, Chicago, Illinois
Christine A. Goeschel
Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Maryland
Sanjay Saint*
Veterans Affairs Ann Arbor Healthcare System and University of Michigan School of Medicine, Ann Arbor, Michigan
University of Michigan Medical School, 2800 Plymouth Road, Building 16, Room 433W, Ann Arbor, MI 48109 (


Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013. Michigan's successful collaborative to reduce unnecessary use of urinary catheters and CAUTI was based on a partnership between diverse hospitals, the state hospital association (SHA), and academic medical centers. Taking the lessons learned from Michigan, we are now spreading this work throughout the 50 states. This national spread leverages the expertise of different groups and organizations for the unified goal of reducing catheter-related harm. The key components of the project are (1) centralized coordination of the effort and dissemination of information to SHAs and hospitals, (2) data collection based on established definitions and approaches, (3) focused guidance on the technical practices that will prevent CAUTI, (4) emphasis on understanding the socioadaptive aspects (both the general, unit-wide issues and CAUTI-specific challenges), and (5) partnering with specialty organizations and governmental agencies who have expertise in the relevant subject area. The work may serve in the future as a model for other large improvement efforts to address other hospital-acquired conditions, such as venous thromboembolism and falls.

Original Article
Copyright © The Society for Healthcare Epidemiology of America 2013

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