The Joint Commission has revised for 2017 NPSG.07.06.01, its national patient safety goal for prevention of CAUTI’s (catheter-associated urinary tract infections).
The elements of performance for NPSG.07.06.01 are:
- Limiting use and duration
- Performing hand hygiene prior to catheter insertion or maintenance care
- Using aseptic techniques for site preparation, equipment, and supplies
- Securing catheters for unobstructed urine flow and drainage
- Maintaining the sterility of the urine collection system
- Replacing the urine collection system when required
(The NPSG acknowledges that there are certain medical conditions, predominantly neurological ones, that require a prolonged use of an indwelling urinary catheter in order to avoid adverse events and promote patient safety.)
- Selecting measures using evidence-based guidelines or best practices
- Having a consistent method for medical record documentation of indwelling urinary catheter use, insertion, and maintenance.
- Monitoring compliance with evidence-based guidelines or best practices
the effectiveness of prevention efforts
(The NPSG notes that surveillance may be targeted to areas with a high volume of patients using in-dwelling catheters, as identified through the hospital’s risk assessment.)
Of course, we are advocates of incorporating your evidence-based criteria into your CPOE system. That can help ensure appropriate use of catheters and may help you meet some of the documentation requirements. Innovative hospitals will also use barcoding to help create documentation for things like time of insertion, review for continuation, etc.
This NPSG and all the other 2017 National Patient Safety Goals are now available on The Joint Commission website (TJC 2016).
Our other columns on urinary catheter-associated UTI’s:
The Joint Commission. Hospital Accreditation Program. National Patient Safety Goals Effective January 2017. Accessed November 18, 2016