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Inappropriate diagnosis of urinary tract infection (UTI) in hospitalized medical patients; Abbreviated form: Inappropriate diagnosis of UTI

CBE ID
3690
1.4 Project
Patient Safety
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
E&M Cycle
Spring 2022
Is Under Review
No
Next Planned Maintenance Review
Patient Safety Spring 2026
1.3 Measure Description

The inappropriate diagnosis of UTI in hospitalized medical patients (or “Inappropriate Diagnosis of UTI”) measure is a process measure that evaluates the annual proportion of hospitalized adult medical patients treated for UTI who do not meet diagnostic criteria for UTI (thus are inappropriately diagnosed and overtreated).

    • 1.14 Numerator

      The measure quantifies adult, hospitalized medical patients inappropriately diagnosed with UTI. Here, inappropriate diagnosis is defined as patients treated with antibiotics for UTI who do not meet diagnostic criteria for UTI. Patients were considered inappropriately diagnosed if they received antibiotic therapy for a UTI but did not have at least one sign or symptom of a UTI.

    • Exclusions

      Exclusion Criteria:

      • Left against medical advice or refused medical care
      • Admitted on hospice
      • Pregnant or breastfeeding
      • Spinal cord injury
      • UTI-related complication (e.g., perinephric abscess)
        • Operationalized as >14 days of antibiotics at discharge
    • Most Recent Endorsement Activity
      Endorsed Patient Safety Spring Cycle 2022
      Initial Endorsement
      Last Updated