Bundled Catheter Care


Bundled Catheter Care approach: an intervention study

Lead LHD:

Hunter New England

Research Project:

Catheter-associated urinary tract infection (CAUTI) is preventable: Indwelling urinary catheter (IDC) avoidance and early removal are identified as the most effective strategies in reducing CAUTI. Urinary Tract Infections account for up to 36% of all healthcare associated Infections (HAI’s), most of these being CAUTIs. This places a significant burden on our healthcare system. Patients have to stay longer in hospital requiring treatment for their infection. Having an IDC can also restrict patient mobility and cause distress, pain, discomfort, and embarrassment.

A model of care aimed at reducing IDC use and CAUTI was developed for a pilot project in HNELHD. The model is a bundled catheter care intervention consisting of an integrated set of evidence-based practices to assist clinicians in making informed decisions related to IDC insertion, care and removal. Results of a pilot project demonstrated a significant reduction in IDC usage rates, duration IDC in situ, and CAUTI rates.

This project aims to implement and evaluate to prevent CAUTI using a bundled catheter care approach.  This trial at John Hunter Hospital will test a highly promising strategy for reducing inappropriate catheterisation. If proven effective, the strategy will be readily scaled up and would eliminate one of the hospital’s most common forms of low value health care.

Project Lead:

  • Ms Wendy Watts
  • Michelle Giles.