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. Author manuscript; available in PMC: 2010 Sep 1.
Published in final edited form as: Jt Comm J Qual Patient Saf. 2009 Sep;35(9):449–455. doi: 10.1016/s1553-7250(09)35062-x

Table 2.

Keystone Bladder Bundle Practices and Measures

Key Practices Measures (All Pre- and Postintervention)
1. Nurse-initiated urinary catheter discontinuation protocol 1. Prevalence rate of urinary catheter utilization (number of urinary catheter
days/total number of patient-days during a period of time)
2. Urinary catheter reminders and removal prompts 2. Indication for each insertion
3. Alternatives to indwelling urinary catheterization 3. Prevalence rate of unnecessary urinary catheter utilization
(number of unnecessary urinary catheter days/total number of patient-days
during a period of time)
4. Portable bladder ultrasound monitoring 4. Rate of discontinuation of unnecessary urinary catheters (number of
unnecessary catheters discontinued/number of urinary catheters evaluated
for which no indication was found)
5. Insertion care and maintenance