Deimplementation Strategies

Training for nurses and physicians was the most frequently mentioned strategy. Stop orders were recommended to limit catheter duration by default unless renewed. Multidisciplinary morning rounds were proposed to make catheter use a systematic discussion topic. Training, clinician support, and infrastructure or workflow change were the most prominent strategy clusters for reducing inappropriate catheter use. Reframing inappropriate catheter use as clinically significant may be necessary before broader organisational change can begin.