Nursing Interventions Among Surgical Patients Eliminate Stage 3 and 4 Pressure Ulcers and Reduce Incidence of Other Pressure Ulcers
Nurses at Aultman Hospital assess patients preoperatively for risk of pressure ulcers, carefully monitor and address risk factors during surgery, and complete a communication tool to inform postoperative surgical care; the program led to the elimination of Stage 3 and 4 pressure ulcers hospital-wide and very low incidence of Stage 1 and 2 pressure ulcers in surgical patients.
Staff Training and Support, Incentives, and Feedback Fails to Generate Sustainable Reductions in Pressure Ulcers at Nursing Home
Guided by a university research team, a 136-bed, not-for-profit nursing home in Pennsylvania implemented a quality improvement program to reduce pressure ulcer incidence. The program included three components: education and tools to increase workers’ ability to recognize and prevent pressure ulcers; financial incentives for improved performance; and ongoing performance feedback.
Proactive Assessment and Management of At-Risk Patients Reduces Pressure Ulcers and Saves $11 Million Annually in Two-Hospital System
The NCH Healthcare System's multifaceted program to prevent pressure ulcers in high-risk patients dramatically reduced their prevalence and saved the system more than $11 million annually.
Interdisciplinary Teams Perform Daily Reviews of Real-Time Information to Identify and Address Risk Factors in Older Inpatients
Hospital-based interdisciplinary teams conduct daily reviews of real-time information on all inpatients ages 65 and older to identify and address risk factors that can lead to negative outcomes; the program reduced use of urinary catheters and increased use of physical therapy and social work evaluations.
Creation of Unit-Based, Clinically Focused Nurse Leader Position Expedites Discharge, Improves Quality, and Reduces Turnover
A hospital created a new nursing position, the clinical resource nurse, to ensure continuity of care, facilitate care planning, coordinate with physicians, encourage adherence to evidence-based practices, and mentor less experienced nurses, leading to more timely discharges, fewer falls and pressure ulcers, lower nurse turnover, and higher patient, nurse, and physician satisfaction.
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Pressure Ulcer Tools
This site provides various resources on the assessment, treatment, and prevention of pressure ulcers.
Studer Group Toolkit: Patient Safety
This toolkit provides health care leaders and frontline staff specific tactics they can immediately put into action to improve patient safety outcomes.
Prevent Pressure Ulcers
The Prevent Pressure Ulcers initiative is part of the Institute for Healthcare Improvement's 5 Million Lives Campaign. This site offers resources that can help reduce the incidence of hospital-acquired pressure ulcers.
On-Time Quality Improvement for Long-Term Care Tool Set
The On-Time Quality Improvement for Long-Term Care program is designed to improve day-to-day practice in nursing homes, improve and redesign workflow, enrich work culture, and reduce pressure ulcers.
Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care
This toolkit for health care professionals in hospitals provides ways to implement effective pressure ulcer prevention practices through an interdisciplinary approach to care.