ArticlePediatric quality & safety
Impact of a Daily PICU Rounding Checklist on Urinary Catheter Utilization and Infection.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update.Infection control and hospital epidemiology · 2023Article
- [Implementation of a checklist improves adherence to evidence-based practices in a pediatric intensive therapy unit].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2022Article
- Advanced Practice Provider-inclusive Staffing Models and Patient Outcomes in Pediatric Critical Care.Medical care · 2021Article
- Health Care-Associated Infections Among Critically Ill Children in the US, 2013-2018.JAMA pediatrics · 2020Article
- Scope of a weekly infection control team rounding in an acute-care teaching hospital: a pilot study.Antimicrobial resistance and infection control · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn critically ill children, inappropriate urinary catheter (UC) utilization is associated with increased morbidity, including catheter-associated urinary tract infections (CAUTIs). Checklists are effective for reducing medical errors, but there is little data on their impact on device utilization in pediatric critical care. In this study, we evaluated UC utilization trends and CAUTI rate after implementing a daily rounding checklist.
methodsA retrospective review of our checklist database from 2006 through 2016 was performed. The study setting was a 36-bed pediatric intensive care unit in a quaternary-care pediatric hospital. Interventions included the "Daily QI Checklist" in 2006, ongoing education regarding device necessity, and a CAUTI prevention bundle in 2013. UC utilization and duration were assessed via auto-correlated time series models and Cochran-Armitage tests for trend. Changes in CAUTI rate were assessed via Poisson regression.
resultsUC utilization decreased from 30% of patient-days in 2006 to 18% in 2016 (
conclusionsImplementation of the checklist coincided with a sustained 40% reduction in UC utilization. The trend may be explained by a combination of more appropriate selection of patients for catheterization and improved timeliness of UC discontinuation. We also observed an 89% decline in CAUTI rate that occurred after stabilization of UC utilization. These findings underscore the potential impact of a checklist on incorporating best practices into daily care of critically ill children.
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