On when guidelines conflict: Patient safety, quality of life and CAUTI reduction in patients with spinal cord injury
Spinal cord series and cases(2019)
摘要
The current Medicare payment structure and some of the recent guidelines aimed at reducing catheter-associated urinary tract infections may be generating a financial incentive for the protocolized, systematic removal of indwelling catheters in hospitalized patients—including those with spinal cord injury. This creates a tension with the Consortium for Spinal Cord Medicine’s clinical practice guidelines for the management of neurogenic bladder. This article presents a series of cases and a discussion of the implications with regard to patient safety and quality of life.
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关键词
Rehabilitation,Spinal cord diseases,Urinary tract infection
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