The American Journal of Medicine
Volume 114, Issue 5 , Pages 404-407 , 1 April 2003

Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients

  • Paul B Cornia, MD

      Affiliations

    • Primary and Specialty Medicine Service (PBC, JKA, SF, BAL), Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
    • Corresponding Author InformationRequests for reprints should be addressed to Paul B. Cornia, MD, General Internal Medicine Clinic, S-111, 1660 South Columbian Way, Seattle, Washington, USA 98108
    • ,
  • John K Amory, MD

      Affiliations

    • Primary and Specialty Medicine Service (PBC, JKA, SF, BAL), Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
    • ,
  • Shelagh Fraser, MD

      Affiliations

    • Primary and Specialty Medicine Service (PBC, JKA, SF, BAL), Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
    • ,
  • Sanjay Saint, MD, MPH

      Affiliations

    • Ann Arbor VA Medical Center (SS), and Department of Internal Medicine and Patient Safety Enhancement Program, University of Michigan Health System, Ann Arbor, Michigan, USA
    • ,
  • Benjamin A Lipsky, MD

      Affiliations

    • Primary and Specialty Medicine Service (PBC, JKA, SF, BAL), Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA

Received 12 March 2002 ,Revised 15 October 2002 ,Accepted 28 October 2002.

References 

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  2. Jain P, Parada JP, David A, Smith LG. Overuse of the indwelling urinary catheter in hospitalized medical patients. Arch Intern Med. 1995;155:1425–1429
  3. Garibaldi RA, Burke JP, Dickman ML, Smith CB. Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med. 1974;291:215–219
  4. Platt R, Polk BF, Murdock B, Rosner B. Risk factors for nosocomial urinary tract infection. Am J Epidemiol. 1986;124:977–985
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  7. Saint S, Lipsky BA, Baker PD, et al.  Urinary catheters (what type do men and their nurses prefer?). J Am Geriatr Soc. 1999;47:1453–1457
  8. Gardam MA, Amihod B, Orenstein P, et al.  Overutilization of indwelling urinary catheters and the development of nosocomial urinary tract infections. Clin Perform Qual Health Care. 1998;6:99–102
  9. Saint S, Wiese J, Amory JK, et al.  Are physicians aware of which of their patients have indwelling Foley catheters?. Am J Med. 2000;109:476–480
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  11. Balas EA, Weingarten S, Garb CT, et al.  Improving preventive care by prompting physicians. Arch Intern Med. 2000;160:301–308
  12. Hunt DL, Haynes RB, Hanna SE, et al.  Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA. 1998;280:1339–1346
  13. Johnston ME, Langton KB, Haynes RB, et al.  Effects of computer-based clinical decision support systems on clinician performance and patient outcome: a critical appraisal of research. Ann Intern Med. 1994;120:135–142
  14. Shea S, DuMouchel W, Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996;3:399–409
  15. McDonald CJ, Hui SL, Smith DM. Reminders to physicians from an introspective computer medical record: a two-year randomized trial. Ann Intern Med. 1985;100:130–138
  16. Stark RP, Maki DG. Bacteriuria in the catheterized patient. N Engl J Med. 1984;311:560–564
  17. Saint S. State of the science: clinical and economic consequences of nosocomial catheter-related bacteriuria. Am J Infect Control. 2000;28:68–75
  18. Saint S, Lipsky BA, Goold SD. Indwelling urinary catheters: a one-point restraint. Ann Intern Med. 2002;137:125–127
  19. Saint S, Lipsky BA. Preventing catheter-related bacteriuria: should we? Can we? How?. Arch Intern Med. 1999;159:800–808
  20. Shapiro M, Simchen E, Izraeli S, Sacks TO. A multivariate analysis of risk factors for acquiring bacteriuria in patients with indwelling urinary catheters for longer than 24 hours. Infect Control. 1984;5:525–532

☆ This project was supported by a grant from the Research Foundation for the Prevention of Complications Associated with Health Care, Washington D.C., and by the Department of Veterans Affairs. Dr. Saint is supported by a Career Development Award from the Health Services Research & Development Program of the Department of Veterans Affairs and a Patient Safety Developmental Center grant (P20-HS11540) from the Agency for Healthcare Research and Quality, Rockville, Maryland.

PII: S0002-9343(02)01568-1

doi: 10.1016/S0002-9343(02)01568-1

The American Journal of Medicine
Volume 114, Issue 5 , Pages 404-407 , 1 April 2003

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