This was a several year, single site, multi-faceted QI intervention, consisting of education, audit/feedback, and a dedicated foley nurse. Although the overall prevalence of foley use did not decrease that dramatically (from about 15% to about 12%), the rate of unnecessary foley use dropped significantly (from about 22% to about 1%). As with most QI interventions, it will take several levels and several years of intervention to reduce unnecessary foley use (abstract)
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