Evidence map›Paper›PMID 39935857›Full record

ArticleTherapeutic advances in infectious disease

Implementation of a nurse-driven protocol for indwelling urinary catheter removal and novel utilization dashboard: a pre/postintervention observational study.

Michelle Kamel, Nichole Harris, Andrew Berry, Theodore Warsavage, Mary T Bessesen, Shelley E Kon

Abstract read
In one paragraph

Article in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Assessing the economic burden of complicated urinary tract infection: A systematic literature review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Michelle KamelVA Eastern Colorado Health Care System, Rocky Mountain Regional VAMC, 1700 N. Wheeling St., Aurora, CO 80045-7211, USA.
Nichole HarrisVA Eastern Colorado Health Care System, Aurora, CO, USA.
Andrew BerryVA Eastern Colorado Health Care System, Aurora, CO, USA.
Theodore WarsavageVA Eastern Colorado Health Care System, Aurora, CO, USA.
Mary T BessesenVA Eastern Colorado Health Care System, Aurora, CO, USA.
Shelley E KonMedical Director of Infection Prevention and Antibiotic Stewardship, VA Eastern Colorado Health Care System, Aurora, CO, USA.ORCID https://orcid.org/0000-0002-6394-7117

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nurse-driven protocols (NDPs) for urinary catheter removal are proven tools for decreasing catheter-associated urinary tract infections (CAUTIs); however, they are not used consistently in acute care settings. Objective: To determine the impact of a NDP for urinary catheter removal on CAUTI rates and device utilization ratio. Design: Pre/postintervention, observational study at a 160-bed, level 1a academically affiliated Veterans Affairs (VA) hospital. Methods: CAUTI rates and device utilization ratios were examined before and after implementation of the NDP. Results: The CAUTI rate decreased from 0.99 per 1,000 urinary catheter days in the preintervention period to 0.27 per 1000 urinary catheter days in the postintervention period. The device utilization ratio (catheter days/patient days) decreased from 14% in the preintervention period to 12% in the postintervention period. Conclusion: The NDP reduced the CAUTI rate and the device utilization ratio. A multidisciplinary project team and use of a data visualization dashboard may be valuable implementation strategies to increase utilization of NDPs such as HOUDINI.

Indexed as

catheter-associated urinary tract infection (CAUTI)dashboardimplementation scienceinfection control and preventionnurse driven protocol for urinary catheter removalpreventionurinary tract infection

Identifiers

PMID39935857
PMCPMC11811977

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.