title: Indwelling urinary catheter surveillance using a Task-oriented nurse acuity system.
abstract: The task-oriented nurse acuity system (TONAS) has long been used to calculate nursing care needs on hospital patient units, and include nursing documentation on indwelling urinary catheter use. We performed a 2500-patient validation study of our organization's TONAS, which demonstrated high interrater reliability with manual audits (κ >0.92). For institutions that continue to rely on manual surveillance of urinary catheter use, a TONAS may represent a reliable method of automated surveillance.
authors.affiliation: Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada. Electronic address: jerome.leis@sunnybrook.ca.
authors.forename: Jerome A
authors.initials: JA
authors.lastname: Leis
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Carla
authors.initials: C
authors.lastname: Corpus
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Barbara
authors.initials: B
authors.lastname: Catt
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Fatema
authors.initials: F
authors.lastname: Jinnah
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Bronwen
authors.initials: B
authors.lastname: Edgar
authors.affiliation: Department of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, ON, Canada.
authors.forename: Brian M
authors.initials: BM
authors.lastname: Wong
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Sandra
authors.initials: S
authors.lastname: Callery
authors.affiliation: Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Simor
authors.affiliation: Department of Microbiology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
authors.forename: Mary
authors.initials: M
authors.lastname: Vearncombe
mesh_terms: D055499:Catheter-Related Infections / Q000453:epidemiology*; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000706:statistics & numerical data*; D062665:Epidemiological Monitoring; D006801:Humans; D014546:Urinary Catheterization / Q000379:methods*; D062885:Urinary Catheters / Q000009:adverse effects* / Q000706:statistics & numerical data; D014552:Urinary Tract Infections / Q000453:epidemiology*
keywords: Measurement; Quality improvement; Urinary catheter