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BACKGROUND: This facility struggled with a compliance rate of 49 percent with the SCIP (Surgical Care Improvement Project) Inf-9 measure (urinary catheter removed by end of post operative day 2). Implementation of a catheter removal checklist was started in Q2 2010, and along with clinical judgment of nurses, has significantly improved compliance for the timely discontinuation of urinary catheters.
Patients who have indwelling bladder catheters for more than 2 days postoperatively are 21% more likely to develop UTI, significantly less likely to be discharged to home, and have a significant increase in mortality at 30 days.
Source: Specification Manual for National Inpatient Hospital Quality Measures