Evaluation of an External Urinary Device Protocol and Practices in Hospitalised Female Patients: A Quality Improvement Project at a Rural Midwestern Hospital

ABSTRACT Urinary incontinence management through the use of an external urinary device (EUD) has captured the attention of hospitals in the prevention of catheter‐associated urinary tract infections with the theory of reduction in the use of indwelling urinary catheters. Retrospective chart review of 65 charts of women who were fitted with EUD's during their hospital stay was conducted. Descriptive data were gathered. Use of EUD under the current protocol resulted in increased patient length of stay and increased number of hospital acquired pressure injuries. Despite FDA reporting and limited evidence‐based research, facilities continue to move forward with EUD use, potentially increasing the risk of morbidity and mortality in their patient populations.