Elimination of bleeding associated with urinary catheterization in neonates.
Three cases of hematuria associated with urinary catheterization in infant males in this NICU over a year prompted an investigation by the health care team. The team tracked catheterizations in the unit, conducted a national survey, and did a literature review. Based on their findings, the team revised the unit policy and procedure and evaluated new products. After changes were implemented, the incidence of hematuria--originally at 20.7 percent--dropped to 5.5 percent during the first evaluation period and to zero during a second follow-up period.
Elizondo
A P
AP
University of Texas Health Science Center, Houston, USA. aelizond@flash.net
Gilbert
J
J
Wearden
M E
ME
Lanclos
D
D
Adams
J
J
D002408:Catheters, Indwelling / Q000009:adverse effects / Q000706:statistics & numerical data; D004867:Equipment Design; D005260:Female; D006417:Hematuria / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008297:Male; D017283:Neonatal Nursing / Q000379:methods / Q000592:standards; D015403:Nursing Evaluation Research; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States / Q000453:epidemiology; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods / Q000451:nursing* / Q000706:statistics & numerical data