By providing patients reliable information and daily checklists via an app, we aim to give the patient a tool to be involved in the management of the catheter use. In this way, inappropriate use should be better signaled and discouraged, and the…
ID
Source
Brief title
Synonym
Health condition
Urinary tract infections, Catheter-associated urinary tract infections, nosocomial infections
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
In our multi-centered prospective interrupted time series, our primary aim is 15% reduction in inappropriate urinary catheter (UC) use. We will evaluate the efficacy of the app in this quality improvement project on clinical wards.
Secondary outcome
Patient satisfaction and involvement in their health care are secondary endpoints
Background summary
Catheter-associated urinary tract infections (CAUTI) are the main cause of healthcare associated infections, leading to higher burden of disease, more antibiotic use and prolonged hospital stay. Inappropriate placement of a urinary catheter (UC) and unnecessary prolongation of use, lead to an elevated and preventable risk of infection.
The smartphone application ‘Participatient’ is developed to involve patients in the communication and decision-making on urinary catheter use with the aim to overcome unnecessary (long-term) use of catheters to prevent CAUTI.
Study objective
By providing patients reliable information and daily checklists via an app, we aim to give the patient a tool to be involved in the management of the catheter use. In this way, inappropriate use should be better signaled and discouraged, and the risk of infection will be reduced.
Study design
During 6 months prior to the intervention, and 6 monthes afterwards, we will perform point-prevalence surveys every 14 days, of urinary catheter appropriateness, along with the secondary endpoints: amount of UTI and CAUTI, patient satisfaction with admission, communication between patient and staff and trust in healthcare workers.
Intervention
By providing patients reliable information and daily checklists via an app, we aim to give the patient a tool to be involved in the management of the catheter use. In this way, inappropriate use should be better signaled and discouraged, and the risk of infection will be reduced.
Study burden and risks
The smartphone application ‘Participatient’ is developed to involve patients in the communication and decisionmaking on urinary catheter use with the aim to overcome unnecessary (long-term) use of catheters to prevent CAUTI.
Robbert G Bentvelsen
Leiden
The Netherlands
+31-71-526-2600
rbentvelsen@gmail.com
Robbert G Bentvelsen
Leiden
The Netherlands
+31-71-526-2600
rbentvelsen@gmail.com
Age
Inclusion criteria
Point prevalence survey of all patients 18+ years old, admitted to participating wards of study sites, with an urinary catheter or urinary tract infection.
Exclusion criteria
Under 18 years of age, admitted less than one day, opt-out of research due to privacy reasons or personal preference.
Design
Recruitment
IPD sharing statement
Plan description
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7178 |
| NTR-old | NTR7369 |
| Other | the Netherlands Organisation for Health Research and Development (ZonMw) : 522004007 |