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National Healthcare Safety Network (NHSN) Catheter-associated Urinary Tract Infection (CAUTI) Outcome Measure

CBE ID
0752
Endorsement Status
Endorsement Removed
E&M Committee Rationale/Justification

Endorsement removed due to measure steward confirming that CBE #0138 (https://p4qm.org/measures/0138) is the current specified measure. 

1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Full Year 2011
Is Under Review
No
1.3 Measure Description

De.2. Brief description of measure
Standardized Infection Ratio (SIR) of healthcare-associated, catheter-associated urinary tract infections (CAUTI) will be calculated among patients in the following patient care locations:
• Intensive Care Units (ICUs) (excluding patients in neonatal ICUs [NICUs: Level II/III and Level III nurseries])
• Specialty Care Areas (SCAs) - adult and pediatric: long term acute care, bone marrow transplant, acute dialysis, hematology/oncology, and solid organ transplant locations
• other inpatient locations (excluding Level I and Level II nurseries).
Data from these locations are reported from acute care general hospitals (including specialty hospitals), freestanding long term acute care hospitals, rehabilitation hospitals, and behavioral health hospitals. Only locations where patients reside overnight are included, i.e., inpatient locations.

    • 1.14 Numerator

      Total number of observed healthcare-associated CAUTI among inpatients in ICUs (excluding patients in NICUs), SCAs, and other inpatient locations (excluding Level I and Level II nurseries).

    • 1.15 Denominator

      Total number of expected CAUTIs, which is calculated by multiplying the number of urinary catheter days for each location under surveillance for CAUTI during the period by the CAUTI rate for the same types of locations obtained from the standard population. These expected numbers are summed across locations and used as the denominator of this measure (see also 2a.8).

    • Exclusions

      Non-indwelling catheters by NHSN definitions:
      1.Suprapubic catheters
      2.Condom catheters
      3.“In and out” catheterizations

    • OLD 1.12 MAT output not attached
      Attached
      1.13a Data dictionary not attached
      No
    • Most Recent Endorsement Activity
      Endorsed National Voluntary Consensus Standards for Patient Safety
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Centers for Disease Control and Prevention
    • Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off