A hólyagkatéter-alkalmazás gyakorlatának vizsgálata klinikai audittal

Absztrakt:

Introduction: Nowadays, the improvement of the quality and safety of patient care is a priority focus area among healthcare providers. Healthcare-related infections remain one of the most common patient safety problems, despite the fact that a significant number of them can be prevented by applying good practice. In order to prevent infections and develop appropriate practice, it is necessary to introduce rules for the effective and reliable performance of activities, the rule-following attitude of employees, and the evaluation of the quality of professional practice. The purpose of this study is to present the professional quality assessment process of the bladder catheterization practice used at the Petz Aladár University Teaching Hospital in Győr-Moson-Sopron County in order to facilitate and possibly standardize the future planning and conduct of similar audits.

Methods: The study of institutional practice was carried out on the basis of the methodological letter on the prevention of bladder catheter-related urinary tract infection issued by the National Chief Medical Officer in 2019, with the adaptation and development of the clinical audit methodology at the institutional level. In the study, we describe the steps of the quality improvement methodology used for the design and implementation of the study, background of the methodology developed to examine the adequacy of bladder catheterization practice, to collect survey data and to evaluate professional work. We refer to the causal research prepared to detect the reasons behind the weaknesses of the practice and to the preparation of a priority matrix supporting the development of the quality of the practice.

Results: We adapted the clinical audit process, we selected the critical points of the institution’s bladder catheterization practice in a flowchart, for the examination of which we formulated criteria and process indicators. We have designed the tools for data collection and the questionnaire needed to assess the employees’ knowledge about the topic. With the investigation, we pointed out the roots behind the weaknesses of the practice, and we also developed proposals to solve the causes.

Conclusions: To improve patient safety and improve the quality of patient care, it is essential to evaluate professional process. The presented methodology is suitable for examining the adequacy of professional processes related to the bladder catheter, and regular evaluation supports and can have a long-term impact on the proper, uniform implementation of regulated processes.