A new paper has been published highlighting the impact of the award-winning Good Hydration! initiative to reduce urinary tract infections in care homes. Download a copy of the BMJ Open Quality paper here.
The initiative has led to fewer residents suffering UTIs which are closely associated with dehydration. The Good Hydration! initiative was designed to encourage residents to drink more fluids through the introduction of structured drinks rounds seven times a day, designed and delivered by care home staff.
The initiative was developed by the Oxford Patient Safety Collaborative and East Berkshire Clinical Commissioning Group. Across the pilot four care homes there was a 36% reduction of UTIs admitted to hospital. The number of UTIs requiring antibiotics also fell by 58% with the average frequency of UTIs dropping from one every nine days to one every 80 days. One residential home was UTI-free for 243 consecutive days. Skin integrity also improved, and GP calls reduced. These improvements have been sustained.
The Good Hydration! approach has spread to five more care homes in east Berkshire and three in Oxfordshire – where similar results were observed. The Oxford PSC has now supported clinical commissioning groups and local authorities to role this out in Luton, Milton Keynes, Berkshire West, Swindon, Coventry and Rugby with more regions expressing interest. A toolkit, including a series of animated videos, has been developed and shared to spread the learning among care home staff.
More resources here.