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Managing Urinary Retention

Title: Managing Urinary Retention: A Quality Improvement Project .
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Name(s): Dorenko, Tatiana, author
Type of Resource: text
Genre: Text
Research Report
Date Issued: 2018-04-11
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Abstract Purpose: The purpose of this quality improvement project was to develop, implement and evaluate the impact of an Urinary Retention Management protocol on indwelling urinary catheter utilization and incidence of bladder overdistention. The specific aims of the study were to decrease indwelling urinary catheter utilization and decrease the incidence of bladder volumes greater than 600 ml. Methods: The new protocol was implemented on inpatient medical-surgical, rehabilitation, and intensive care units. An online education module was required for all nurses. A descriptive comparison design was employed to evaluate the impact of the protocol utilizing de-identified retrospective electronic medical record data to compare the Urinary Catheter Utilization ratio and the incidence of bladder volumes above 600 ml pre- and post-implementation of the new protocol. Results: The data for pre-implementation period included 655 bladder scans with 295 volumes above 600 ml and 1125 bladder scans with 489 volumes above 600 ml for post-implementation period. The mean Catheter Utilization ratio decreased from 0.225 to 0.437, but the z-score 1.60 was not statistically significant. The ratio of incidences of bladder overdistention decreased from 0.450 to 0.437. There was a statistically significant decrease in mean bladder volumes above 600 ml from 786.72 ml to 765.51 ml in the pre-and post-implementation periods. The ratio of documented bladder scans increased from 1.9 to 3.20. Discussion: The implementation of a standardized urinary retention management protocol improved the monitoring of urinary retention, decreased severity of bladder overdistention and incidence of bladder volumes above 600 ml. Conclusions: This study reflected a modest positive effect on reducing the Indwelling Urinary Catheter Utilization ratio and incidences of bladder overdistention. Regardless of challenges associated with managing of urinary retention, implementation of evidence-based urinary retention management protocols can lead to early recognition and treatment of urinary retention for improving patient safety.
Identifier: FSU_libsubv1_scholarship_submission_1523497769_7495ff4e (IID)
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1523497769_7495ff4e
Owner Institution: FSU

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Dorenko, T. (2018). Managing Urinary Retention: A Quality Improvement Project . Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_scholarship_submission_1523497769_7495ff4e