Lose the Tube.


A toolkit for appropriate use of urinary catheters in hospitals.

This toolkit was created to support the implementation of interventions designed to reduce unnecessary urinary catheters in your hospital.  It can be used by physician groups, clinical services or organizations to help achieve significant reductions in overuse of urinary catheters.  To achieve the desired results, however, the appropriate intervention should be selected to match the problem at your institution.

By using the interventions mentioned in this toolkit Sunnybrook Health Sciences Centre, Toronto, was able to reduce the use of catheters in their medical wards by 50%, sustained beyond 1-year without any adverse effects.



Jerome Leis, MD, MSc, FRCPC
Division of Infectious Diseases, Sunnybrook Health Sciences Centre Assistant Professor, University of Toronto

Christine Soong, MD, MSc, CCFP
Division of General Internal Medicine, Sinai Health System Assistant Professor, University of Toronto


In order to select the most appropriate intervention, it is important to understand what is the main driver of inappropriate urinary catheter utilization in your context. The two most common reasons for urinary catheter overuse are: inappropriate insertion, or those being left in place longer than necessary. These problems are most commonly described among medical inpatients, surgical patients and the emergency department.

Based on the experience in your institution, if the problem is:


A.    Urinary catheters being left in place longer than necessary among inpatients, select module #1


B.    Inappropriate insertion of urinary catheters among surgical patients, select module #2


C.     Inappropriate insertion of urinary catheters in the emergency department, select module #3


D.    I am not sure and I would like to access all 3 modules.