Clinical Decision Support to Reduce Catheter Associated Urinary Tract Infections

Randomized, Controlled Evaluations of the Effectiveness of Clinical Decision Support Systems (REEDS)

The goal of this randomized controlled trial is to compare the effects of a clinical decision support tool consisting of a 48-hour stop order for indwelling urinary catheters versus no clinical decision support in hospitalized patients with indwelling urinary catheters. The main questions it aims to answer are:

- Does the presence of an automated stop order integrated as part of a clinical decision support tool reduce dwell time of urinary catheters and the rate of catheter associated urinary tract infections?

Participants who have indwelling urinary catheters ordered will be randomized to either have these orders automatically expire after 48 hours unless an action is taken or have orders without expiration. Researchers will compare the urinary catheter dwell time and the rate of catheter associated urinary tract infections between the two groups.

Inclusion Criteria:

• Admitted to hospital
• At least 18 years old
• Has order placed for indwelling urinary catheter

Exclusion Criteria:

• Indication for urinary catheter labeled as either "Chronic" or "Placed by urology"