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The elements of performance for the CAUTI prevention safety goal are as follows:
1. During 2012, plan for the full implementation of this NPSG by January 1, 2013.
Note: Planning may include a number of different activities, such as assigning responsibility for implementation activities, creating timelines, identifying resources, and pilot testing.
2. Insert indwelling urinary catheters according to established evidence-based guidelines that address the following:
— Limiting use and duration to situations necessary for patient care
— Using aseptic techniques for site preparation, equipment and supplies
3. Manage indwelling urinary catheters according to established evidence-based guidelines that address the following:
— Securing catheters for unobstructed urine flow and drainage
— Maintaining the sterility of the urine collection system
— Replacing the urine collection system when required
— Collecting urine samples
4. Measure and monitor catheter-associated urinary tract infection prevention processes and outcomes in high-volume areas by doing the following:
— Selecting measures using evidence-based guidelines or best practices
— Monitoring compliance with evidence-based guidelines or best practices
— Evaluating the effectiveness of prevention efforts
The draft National Patient Safety Goal was made available for field comment on The Joint Commission's website from December 2, 2010 through January 27, 2011. More than 1,000 responses were received with most responses from accredited organizations. A majority of field review respondents (more than 70%) agreed that a new National Patient Safety Goal should be introduced for CAUTI, the Joint Commission said.