Write an analysis, 4-5 pages in length of the gap between current and desired performance , with respect to the provision of safe, high quality patient care.
CAUTI is a significant healthcare problem that leads to clinical and financial burdens
worldwide. Although CAUTI is preventable, it is still one of the most common healthcare-
associated infections that affect millions of patients every year (Agency for Healthcare
Research and Quality, n.d). The use of urinary catheters, which is usually required for various
medical conditions, unintentionally leads to microbial colonization and, subsequently, the
infection of the urinary tract. This systematic problem results from multiple factors, such as
the extended period of catheterization, incorrect catheter insertion and maintenance practices,
and the appearance of multidrug-resistant pathogens. Thus, the fight against CAUTI requires
a whole-scale approach, which includes strict adherence to evidence-based guidelines,
rigorous infection control measures, constant education of healthcare providers and
surveillance.
The surgical unit at Pacific Grove Medical Center is the critical area where Catheter-
Associated Urinary Tract Infections (CAUTIs) are the main problem. Patients who are
admitted for various surgical procedures frequently need urinary catheterization for
monitoring and management purposes. Therefore, the risk of CAUTI transmission is also
increased. Elements like long-term catheterization in the postoperative period, perioperative
antibiotic use, and possible contamination during surgical interventions are all the causes of
CAUTI in this case. The elimination of this systemic problem in Pacific Grove Medical
Center's surgical unit is a task that needs to be undertaken through a comprehensive
approach, including strict compliance to the catheter insertion protocols, routine evaluation of
the catheter usage, and continuous monitoring to detect and treat infections promptly.
Specific Practice Changes
Implement Daily Catheter Necessity Assessments: Develop a standardized protocol
that requires daily assessment of the need for urinary catheters for all surgical patients (Tyson
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