Reducing urinary catheter use: a randomised controlled study on the efficacy of an electronic reminder system in hospitalized patients

Not Applicable

• Conditions: inrary catheter usage; Catheter associated asymptomatic bacteriuria; Uinrary catheter usage; Infection - Studies of infection and infectious agents; Public Health - Health service research

• Registration Number: ACTRN12617001191381
• Lead Sponsor: Avondale College of Higher Education

Brief Summary

We found that the electronic reminder did not reduce the duration of catheterization, but potential benefits in patients outside the intensive care unit were identified. Outside the ICU, the use of the device was associated with a 23% decrease in mean catheter duration. Our survey and focus group of nurses found they were largely positive responses toward the use of the device. Electronic reminders may be useful to aid prompt removal of urinary catheters in the non-ICU hospital setting.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-08-15
• Study Completion: 2018-06-15
• Last Update Posted: 30 September 2019

Recruitment & Eligibility

• Status: Stopped early
• Sex: All
• Target Recruitment: 1621

Inclusion Criteria

The hospital must meet the following inclusion criteria:
1. Must have an intensive care unit
2. Must have at least ten wards
3. More than 30,000 patient admissions per year

Potential wards and units eligible for inclusion are medical wards, surgical wards and intensive care units.

All hospitalized patients, admitted to a ward eligible for inclusion in the study, who require a urinary catheter as part of their usual care will be included in the study.

All nurses, who have worked on an intervention ward (i.e. who have worked with the CATH TAG), will be invited to participate in the survey and focus group.

Exclusion Criteria

Exclusion criteria for hospitals
Hospitals will be excluded from the study if they do not meet any of the inclusion criteria.

Day-stay units and psychiatric wards will be excluded.

Neonates (<2 years old) may be excluded if the CATH TAG is too large for the catheter tubing or interferes with patient care.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Duration of catheterisation (defined as the mean duration of catheterisation, calculated from the number of days from insertion of catheter to censor date). [Upon completion of data-collection (trial duration: 24 weeks)];Perceptions of nurses about ease of use of the CATH TAG. This will be assessed by means of an anonymous online survey, as well as through a focus group. The survey has been designed specifically for this study.[The survey will be conducted when all intervention phases of the trial are completed. This will be 6 months post commencement of data-collection (presumably March/April 2018).<br><br>The focus group will be conducted 2 months post completion of all intervention phases, 8 months post commencement of data-collection (presumably June 2018).<br>]