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Reduce the inappropriate use of urinary catheters and intravenous (IV) catheters


- candidate number24964
- NTR NumberNTR6015
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR9-aug-2016
- Secondary IDs8392010022 the Netherlands Organisation for Health Research and Development (ZonMw)
- Public TitleReduce the inappropriate use of urinary catheters and intravenous (IV) catheters
- Scientific TitleReduce the inappropriate use of urinary and intravenous catheters
- ACRONYMRICAT-study
- hypothesisUrinary and (peripheral and central) intravenous catheters are widely used in hospitalized patients, although some serious complications can occur with the use of these catheters. Up to 56% of the catheters do not have an appropriate indication. The main objective of our quality improvement project is to reduce the use of catheters without an appropriate indication by 25-50%.
- Healt Condition(s) or Problem(s) studiedUrinary tract infections, Catheter
- Inclusion criteriaAll patient (> 18 years old) admitted to acute medical units, internal medicine and subspecialties (gastroenterology & hepatology, geriatrics, pulmonology and rheumatology) who receive a urinary and/or (peripheral or central) intravenous catheter.
- Exclusion criteriaPatients with a catheter prior to admission.
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- groupFactorial
- TypeSingle arm
- Studytypeintervention
- planned startdate 1-sep-2016
- planned closingdate1-aug-2018
- Target number of participants1420
- InterventionsFirst we defined a list of appropriate indications for urinary and (peripheral and central) intravenous catheters, which will restrict the use of catheters and urge catheter removal when the indication is no longer appropriate. Furthermore the intervention consists of a kick-off meeting, including a competitive feedback report of the baseline measurements, and education of healthcare workers and patients.
Additional strategies based on the baseline data and local conditions are optional.
- Primary outcomePercentage of inappropriate use of urinary and intravenous catheter on the days of data collection.
- Secondary outcomeCatheter-related infections or other complications, catheter re-insertion rate, length of hospital (and ICU) stay, mortality, and costs of the de-implementation strategy and the main health care costs.
- TimepointsThe clinical data collection will be once per 14 days during eight months in both the pre- and post-intervention period. The presence and indications for the catheter use will be extracted from medical records in combination with observations of the admitted patients. All other data will be collected from (electronic) medical records and nursing records.
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESPhD Student Bart J Laan
- CONTACT for SCIENTIFIC QUERIESPhD Student Bart J Laan
- Sponsor/Initiator ZonMw: The Netherlands Organization for Health Research and Development
- Funding
(Source(s) of Monetary or Material Support)
Citrienfonds
- Publications
- Brief summaryThis RICAT-study aims to reduce the use of urinary and intravenous catheters with an inappropriate indication, and as a result reduce the catheter-related complications. In a multicenter, prospective interrupted time series analysis, several interventions to avoid inappropriate use of catheters will be conducted in seven hospitals in the Netherlands. If (cost-)effective it provides a tool for a nationwide approach to reduce catheter-related infections and other complications.
- Main changes (audit trail)Inclusie criteria:
- Age ≥ 18 years old
- Patient admitted to internal medicine or subspecialties (gastroenterology & hepatology, geriatrics, pulmonology and rheumatology), or nonsurgical patient admitted to acute medical units
- Urinary and/or (peripheral and/or central) intravenous catheter

Exclusie criteria:
- Patient who had all catheters prior to admission
- Patient admitted for elective short stay
- Terminally ill patient
- RECORD9-aug-2016 - 19-okt-2016


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