Professional Practice-Clinical Practice Outcomes; Standards of Care; Clinical Pathways: 3309

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Excerpt

Beginning October 1, 2008, CMS implemented a new payment system to reward hospitals for quality care and avoid payment for unnecessary and preventable conditions. A community hospital CWOCN participated in a task force to prevent catheter-associated urinary tract infection (CAUTI) within the facility, and developed programs for managing incontinence and preventing moisture-associated skin damage (MASD). Decreasing the utilization of indwelling catheters was one measure implemented to prevent CAUTI. The CWOCN recognized that as a result, the number of patients experiencing urinary incontinence may increase, as well as the risk of MASD. The CWOCN provided expertise in the following:
The purpose of this abstract is to compare the pre and posttest scores of 323 caregivers to evaluate knowledge base in prevention of CAUTI, MASD, and managing incontinence from before the staff education programs to after. The pretest was completed October 2008 with an average of 86.5% correct answers. Education of staff will occur through January 2009, and a posttest will be completed in the spring of 2009 with the results presented at the conference.
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