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Are physicians aware of which of their patients have indwelling urinary catheters?

Publication ,  Journal Article
Saint, S; Wiese, J; Amory, JK; Bernstein, ML; Patel, UD; Zemencuk, JK; Bernstein, SJ; Lipsky, BA; Hofer, TP
Published in: Am J Med
October 15, 2000

PURPOSE: Although infections associated with indwelling urinary catheters are common, costly, and morbid, the use of these catheters is unnecessary in more than one-third of patients. We sought to assess whether attending physicians, medical residents, and medical students are aware if their hospitalized patients have an indwelling urinary catheter, and whether physician awareness is associated with appropriate use of these catheters. METHODS: The physicians and medical students responsible for patients admitted to the medical services at four university-affiliated hospitals were given a list of the patients on their service. For each patient, the provider was asked: "As of yesterday afternoon, did this patient have an indwelling urethral catheter?" Respondents' answers were compared with the results of examining the patient. RESULTS: Among 288 physicians and students on 56 medical teams, 256 (89%) completed the survey. Of 469 patients, 117 (25%) had an indwelling catheter. There were a total of 319 provider-patient observations among these 117 patients. Overall, providers were unaware of catheterization for 88 (28%) of the 319 provider-patient observations. Unawareness rates by level of training were 21% for students, 22% for interns, 27% for residents, and 38% for attending physicians (P = 0.06). Catheter use was inappropriate in 36 (31%) of the 117 patients with a catheter. Providers were unaware of catheter use for 44 (41%) of the 108 provider-patient observations of patients who were inappropriately catheterized. Catheterization was more likely to be appropriate if respondents were aware of the catheter (odds ratio = 3.7; 95% confidence interval, 2.1 to 6.7, P <0.001). CONCLUSION: Physicians are commonly unaware that their patients have an indwelling urinary catheter. Inappropriate catheters are more often "forgotten" than appropriate ones. System-wide interventions aimed at discontinuing unnecessary catheterization seem warranted.

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Published In

Am J Med

DOI

ISSN

0002-9343

Publication Date

October 15, 2000

Volume

109

Issue

6

Start / End Page

476 / 480

Location

United States

Related Subject Headings

  • Urinary Catheterization
  • Students, Medical
  • Prospective Studies
  • Physicians
  • Middle Aged
  • Medical Audit
  • Male
  • Internship and Residency
  • Infection Control
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Saint, S., Wiese, J., Amory, J. K., Bernstein, M. L., Patel, U. D., Zemencuk, J. K., … Hofer, T. P. (2000). Are physicians aware of which of their patients have indwelling urinary catheters? Am J Med, 109(6), 476–480. https://doi.org/10.1016/s0002-9343(00)00531-3
Saint, S., J. Wiese, J. K. Amory, M. L. Bernstein, U. D. Patel, J. K. Zemencuk, S. J. Bernstein, B. A. Lipsky, and T. P. Hofer. “Are physicians aware of which of their patients have indwelling urinary catheters?Am J Med 109, no. 6 (October 15, 2000): 476–80. https://doi.org/10.1016/s0002-9343(00)00531-3.
Saint S, Wiese J, Amory JK, Bernstein ML, Patel UD, Zemencuk JK, et al. Are physicians aware of which of their patients have indwelling urinary catheters? Am J Med. 2000 Oct 15;109(6):476–80.
Saint, S., et al. “Are physicians aware of which of their patients have indwelling urinary catheters?Am J Med, vol. 109, no. 6, Oct. 2000, pp. 476–80. Pubmed, doi:10.1016/s0002-9343(00)00531-3.
Saint S, Wiese J, Amory JK, Bernstein ML, Patel UD, Zemencuk JK, Bernstein SJ, Lipsky BA, Hofer TP. Are physicians aware of which of their patients have indwelling urinary catheters? Am J Med. 2000 Oct 15;109(6):476–480.
Journal cover image

Published In

Am J Med

DOI

ISSN

0002-9343

Publication Date

October 15, 2000

Volume

109

Issue

6

Start / End Page

476 / 480

Location

United States

Related Subject Headings

  • Urinary Catheterization
  • Students, Medical
  • Prospective Studies
  • Physicians
  • Middle Aged
  • Medical Audit
  • Male
  • Internship and Residency
  • Infection Control
  • Humans