Topic 6 Response 1/2 |

After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.
(VIV EZ)
 
As a result of my conversation with my mentor, I learned that for hospitals to advocate preventive measures against catheter-associated urinary tract infections (CAUTI), they must evaluate the costs and requirements. Since the Centers for Medicare and Medicaid Services stopped reimbursing hospitals for the additional costs incurred in the management of CAUTI (Kennedy, Greene, & Saint, 2013), hospitals are required to budget and plan efficiently for these procedures. There are numerous strategies undertaken by nurses for the prevention of CAUTI. Education of healthcare of healthcare practitioners and reminders are technically preventive interventions, and they should be prioritized because prevention is less expensive than management. Adherence to the stated guidelines for the prevention of CAUTI is a quality element that might be targeted, particularly through provider education. The policies are the strategies for executing them and evaluating their effectiveness. Adherence to the preventative guidelines will result in improved outcomes, including fewer or no instances of CAUTI and the delivery of quality care. Clinical reports indicate that CAUTI accounts for roughly 20% of bacteremia patients (Kennedy, Greene, & Saint, 2013). Therefore, it is crucial to teach caregivers to use catheters only when necessary and remove them as soon as the patient is stable (Nicolle, 2014). This will lower the number of bacteremia cases by limiting the usage of indwelling catheters. The hospital will be better able to budget for the procedure if it factors in the expense of educating clinicians and utilizing CAUTI reminders. It is also an opportunity for the hospital to focus on infection prevention rather than dealing with its repercussions. Educating the caregivers will also facilitate compliance with the established criteria, resulting in superior outcomes. The hospital’s reputation is enhanced by the level of services it provides. Additionally, keeping track of how often catheters are used and preventing needless usage reduces the risk of bacterial infections, beneficial for both patients and hospitals. In the final analysis, my project will help both the patients and the hospital. 
 
References  
Kennedy, E. H., Greene, M. T., & Saint, S. (2013). Estimating hospital costs of catheter
associated urinary tract infection. Journal of hospital medicine, 8(9), 519-522.
doi:10.1002/jhm.2079
Nicolle, L. E. (2014). Catheter associated urinary tract infections. Antimicrobial resistance and
infection control, 3,23-23. doi:10.1186/2047-2994-3-23 
 
REPLY TO DISCUSSION RESPONSE ABOVE****
 
 

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