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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

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

CBE ID
3690
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2027
1.6 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).

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.9 Care Setting
      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
      Steward Organization
      University of Michigan
      Steward POC email
      Steward Organization Copyright

      N/A

                Public Comments