Application of comprehensive unit-based safety program collaborative action strategy in preventing catheter-associated urinary tract infection among elderly patients and its effect

OBJECTIVE To explore the effect of the comprehensive unit-based safety program (CUSP) collaborative action strategy on reducing the incidence of catheter-associated urinary tract infection (CAUTI) in elderly patients.

METHODS From Jun. to Nov. 2024, the Seventh Medical Center of the PLA General Hospital implemented the CUSP collaborative action strategy for intervention. Comparisons were made between pre-intervention (from Dec. 2023 to May 2024) and post-intervention (from Jun. to Nov. 2024) regarding nurses′ knowledge-attitude-practice (KAP) scores on CAUTI prevention, implementation rates of key nursing measures for elderly CAUTI prevention and CAUTI incidence rates among elderly patients.

RESULTS The pre-intervention KAP score of nurses from geriatric department on CAUTI prevention was (83.44±6.67), significantly lower than the post-intervention score (108.19±16.27) (P < 0.001). The implementation rates of 10 key nursing measures for elderly CAUTI prevention improved (P < 0.05).The incidence rate of CAUTI was 2.88‰ (16/5 546) among 5 546 catheter days before the intervention, and the incidence rate of CAUTI was 0.73‰ (4/5 496) among 5 496 catheter days after the intervention (P=0.008).

CONCLUSIONS The CUSP collaborative action strategy effectively enhances the KAP levels of nurses from geriatric department on CAUTI prevention, improves the implementation rates of key nursing measures, and reduces CAUTI incidence rates among elderly patients.