Introduction: Target Zero represents a commitment to eliminating preventable hospital acquired conditions, including catheter-associated urinary tract infections (CAUTI), central line-associated bloodstream infections (CLABSI), and hospital acquired pressure injuries (HAPI). The Virtual ICU (VICU) program was strategically positioned to enhance surveillance and prevention efforts through remote monitoring and documentation capabilities.
Methods: Multiple Plan-Do-Study-Act (PDSA) cycles were implemented focusing on CAUTI reduction through Virtual ICU oversight. Interventions included enhanced Foley catheter assessments, nurse-driven removal protocols, patient/family education, and systematic documentation improvements. The program utilized virtual nursing capabilities for real-time monitoring, smart phrase development, and comprehensive quality notes capturing Target Zero prevention activities.
Results: Significant improvements were achieved across multiple metrics. CAUTI prevention efforts resulted in a 40% reduction in Foley catheter utilization rates (54.6% to 32.6% in MICU). Documentation of quality interventions increased 286% (from 6,547 to 24,950 monthly notes), demonstrating enhanced visibility of Virtual ICU contributions to patient safety. Target Zero surveillance activities expanded substantially, with over 21,000 monthly Target Zero support interventions documented.
Conclusions: Virtual ICU technology serves as an effective force multiplier for Target Zero prevention, providing "second set of eyes" surveillance capabilities that significantly reduce hospital acquired conditions while improving documentation and staff engagement in quality initiatives.
