title: "Lose the Tube": A Choosing Wisely initiative to reduce catheter-associated urinary tract infections in hospitalist-led inpatient units.
abstract: We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.
authors.affiliation: Department of Medicine, Mount Sinai Hospital, New York, NY. Electronic address: hyung.cho@mountsinai.org.
authors.forename: Hyung J
authors.initials: HJ
authors.lastname: Cho
authors.affiliation: Department of Medicine, Rutgers University Robert Wood Johnson Medical School, New Brunswick, NJ.
authors.forename: Steve
authors.initials: S
authors.lastname: Khalil
authors.affiliation: Department of Population Health Science and Policy, Mount Sinai Health System, New York, NY.
authors.forename: Jashvant
authors.initials: J
authors.lastname: Poeran
authors.affiliation: Department of Population Health Science and Policy, Mount Sinai Health System, New York, NY.
authors.forename: Madhu
authors.initials: M
authors.lastname: Mazumdar
authors.affiliation: Department of Infection Prevention and Control, Mount Sinai Health System, New York, NY.
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Bravo
authors.affiliation: Department of Medicine, Mount Sinai Health System, New York, NY.
authors.forename: Fran
authors.initials: F
authors.lastname: Wallach
authors.affiliation: Department of Medicine, Mount Sinai Hospital, New York, NY.
authors.forename: Brian
authors.initials: B
authors.lastname: Markoff
authors.affiliation: Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Nathan
authors.initials: N
authors.lastname: Lee
authors.affiliation: Department of Medicine, Mount Sinai Hospital, New York, NY.
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Dunn
mesh_terms: D055499:Catheter-Related Infections / Q000517:prevention & control*; D002404:Catheterization / Q000009:adverse effects*; D003428:Cross Infection / Q000517:prevention & control*; D020445:Hospitalists; D006801:Humans; D017053:Infection Control / Q000379:methods; D007297:Inpatients; D061214:Patient Safety; D014552:Urinary Tract Infections / Q000517:prevention & control*
keywords: Hospital medicine; Infection control; Nosocomial infections; Patient safety