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Improving documentation and use of ultrasound for suprapubic catheter insertions.

The British Association of Urological Surgeons (BAUS) published recommendations for the safe insertion of suprapubic catheters (SPCs) in January 2011. They identified a number of parameters surrounding the insertion and maintenance of catheters that should be identified, implemented and documented o...

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Autor principal: Day, Nigel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652736/
https://www.ncbi.nlm.nih.gov/pubmed/26734205
http://dx.doi.org/10.1136/bmjquality.u741.w214
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author Day, Nigel
author_facet Day, Nigel
author_sort Day, Nigel
collection PubMed
description The British Association of Urological Surgeons (BAUS) published recommendations for the safe insertion of suprapubic catheters (SPCs) in January 2011. They identified a number of parameters surrounding the insertion and maintenance of catheters that should be identified, implemented and documented on each insertion. One such recommendation was the use of ultrasound, if available and appropriate, to aid insertion and improve patient safety. A previous review of our documentation showed that in 2009, ultrasound imaging was not utilised in any of the 19 SPC insertions. We retrospectively collected data for 36 SPC insertions between April 2010 and December 2011. The information collated was the same as that collected for the BAUS national SPC insertion audit. This quality improvement project identified a significant increase in the use of ultrasound during SPC insertion since 2009 with 17 out of the 36 (47%) cases using this imaging modality. Despite this increase, there was still substantial room for improvement. We also identified some areas of documentation that needed improving, particularly with regard to insertion technique and indication for insertion. As a result, a proforma was designed to be used on each SPC insertion ensuring that all required data is easily identifiable and clearly documented. This proforma is now being used as standard mandatory clinical practice within our Trust.
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spelling pubmed-46527362016-01-05 Improving documentation and use of ultrasound for suprapubic catheter insertions. Day, Nigel BMJ Qual Improv Rep BMJ Quality Improvement Programme The British Association of Urological Surgeons (BAUS) published recommendations for the safe insertion of suprapubic catheters (SPCs) in January 2011. They identified a number of parameters surrounding the insertion and maintenance of catheters that should be identified, implemented and documented on each insertion. One such recommendation was the use of ultrasound, if available and appropriate, to aid insertion and improve patient safety. A previous review of our documentation showed that in 2009, ultrasound imaging was not utilised in any of the 19 SPC insertions. We retrospectively collected data for 36 SPC insertions between April 2010 and December 2011. The information collated was the same as that collected for the BAUS national SPC insertion audit. This quality improvement project identified a significant increase in the use of ultrasound during SPC insertion since 2009 with 17 out of the 36 (47%) cases using this imaging modality. Despite this increase, there was still substantial room for improvement. We also identified some areas of documentation that needed improving, particularly with regard to insertion technique and indication for insertion. As a result, a proforma was designed to be used on each SPC insertion ensuring that all required data is easily identifiable and clearly documented. This proforma is now being used as standard mandatory clinical practice within our Trust. British Publishing Group 2013-02-21 /pmc/articles/PMC4652736/ /pubmed/26734205 http://dx.doi.org/10.1136/bmjquality.u741.w214 Text en © 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Day, Nigel
Improving documentation and use of ultrasound for suprapubic catheter insertions.
title Improving documentation and use of ultrasound for suprapubic catheter insertions.
title_full Improving documentation and use of ultrasound for suprapubic catheter insertions.
title_fullStr Improving documentation and use of ultrasound for suprapubic catheter insertions.
title_full_unstemmed Improving documentation and use of ultrasound for suprapubic catheter insertions.
title_short Improving documentation and use of ultrasound for suprapubic catheter insertions.
title_sort improving documentation and use of ultrasound for suprapubic catheter insertions.
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4652736/
https://www.ncbi.nlm.nih.gov/pubmed/26734205
http://dx.doi.org/10.1136/bmjquality.u741.w214
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