Indwelling urinary catheter surveillance using a Task-oriented nurse acuity system

Jerome A Leis; Carla Corpus; Barbara Catt; Fatema Jinnah; Bronwen Edgar; Brian M Wong; Sandra Callery; Andrew E Simor; Mary Vearncombe

doi:10.1016/j.ajic.2015.05.046

Indwelling urinary catheter surveillance using a Task-oriented nurse acuity system

Am J Infect Control. 2015 Oct 1;43(10):1112-3. doi: 10.1016/j.ajic.2015.05.046. Epub 2015 Jul 17.

Authors

Jerome A Leis¹, Carla Corpus², Barbara Catt², Fatema Jinnah², Bronwen Edgar², Brian M Wong³, Sandra Callery², Andrew E Simor⁴, Mary Vearncombe²

Affiliations

¹ Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada. Electronic address: jerome.leis@sunnybrook.ca.
² Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
³ Department of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada.
⁴ Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.

PMID: 26190387
DOI: 10.1016/j.ajic.2015.05.046

Abstract

The task-oriented nurse acuity system (TONAS) has long been used to calculate nursing care needs on hospital patient units, and include nursing documentation on indwelling urinary catheter use. We performed a 2500-patient validation study of our organization's TONAS, which demonstrated high interrater reliability with manual audits (κ >0.92). For institutions that continue to rely on manual surveillance of urinary catheter use, a TONAS may represent a reliable method of automated surveillance.

Keywords: Measurement; Quality improvement; Urinary catheter.

MeSH terms

Catheter-Related Infections / epidemiology*
Catheters, Indwelling / adverse effects*
Catheters, Indwelling / statistics & numerical data*
Epidemiological Monitoring*
Humans
Urinary Catheterization / methods*
Urinary Catheters / adverse effects*
Urinary Catheters / statistics & numerical data
Urinary Tract Infections / epidemiology*