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By implementing standardized catheter management education and adherence monitoring, we aim to significantly reduce CAUTIs in our facility. This initiative not only promises financial savings of $712,566 annually but also enhances patient safety and staff engagement. Continuing this proactive approach will ensure sustained improvements in healthcare outcomes and reinforce our commitment to high-quality patient care.

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Timeline

June 2025: Start

July 2025: Implementation of monitoring systems

July 2025: Evaluation

September 2025: Completion

Key Stakeholders:

Clinical Nurse Leader (CNL)

Nursing staff

CNAs

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Primary success metrics:
1. 50% reduction in CAUTI rates
2. Staff protocol adherence rates
3. Resident satisfaction scores
4. Real-time compliance data

Monthly reviews will track progress toward these goals.

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1. Shadle, H. N., Sabol, V., Smith, A., Stafford, H., Thompson, J. A., & Bowers, M. (2021). A Bundle-Based Approach to Prevent Catheter-Associated Urinary Tract Infections in the Intensive Care Unit. _Critical Care Nurse, 41_(2), 62–71. https://doi.org/10.4037/ccn2021934

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First phase focuses on comprehensive staff training:

Development of educational materials

Mandatory training sessions for all nurses and CNAs

Hands-on practice with proper catheter management

Documentation requirements review

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Implementation of monitoring systems:

Real-time tracking of protocol compliance

Digital documentation system

Feedback mechanism establishment

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Facility Description:

Long-term care facility specializing in elderly patients with chronic conditions.

High prevalence of indwelling urinary catheters due to patient comorbidities.

Current Challenge:

High incidence of CAUTIs due to inconsistent adherence to catheter protocols.

CAUTIs account for 30% of healthcare-associated infections nationwide. (Shadle et al., 2021)

Impact on Facility:

Increased healthcare costs, patient morbidity, and prolonged hospital stays.

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Current Situation:

Poor adherence to catheter management protocols.

Lack of standardized staff education and monitoring systems.

Desired State:

Reduce CAUTIs by 50% by September 2025.

Proposed Solution:

Comprehensive staff training on catheter protocols (insertion, maintenance, and removal).

Real-time adherence monitoring system with feedback loops.

Alignment with Goals:

Aligns with facility’s mission of delivering evidence-based, high-quality care.

Enhances infection control standards and patient outcomes.

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To reduce the incidence of CAUTIs by 50% by September 2025 through the implementation of standardized catheter management education and adherence monitoring protocols.

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Strengths: Strong leadership support and experienced CNL lead

Weaknesses: Staff resistance and limited resources

Opportunities: Significant cost savings and enhanced reputation

Threats: Staffing shortages and resource competition

This analysis helps us understand our position as we move forward with implementation.

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Project Cost: $7,434

Educational materials: $50

Staff training: $7,384

Net Savings: $712,566/year
ROI: Cost recovered in <2 days
Reduction of 60 CAUTI cases/year (current cost per CAUTI = $12,000).

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Evaluation & Feedback (August-September 2025)

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Evaluation & Feedback (August-September 2025)

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Monthly compliance reviews

Performance feedback sessions

Protocol adjustments based on data

Progress toward 50% CAUTI reduction goal