Quality Improvement Program to Reduce the Prevalence of Pressure Ulcers in an Intensive Care Unit

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dc.contributor.author Elliott, Rosalind en_US
dc.contributor.author Mckinley, Sharon en_US
dc.contributor.author Fox, Vicki en_US
dc.contributor.editor en_US
dc.date.accessioned 2010-07-15T07:27:42Z
dc.date.available 2010-07-15T07:27:42Z
dc.date.issued 2008 en_US
dc.identifier 2007004999 en_US
dc.identifier.citation Elliott Rosalind, Mckinley Sharon, and Fox Vicki 2008, 'Quality Improvement Program to Reduce the Prevalence of Pressure Ulcers in an Intensive Care Unit', American Association of Critical Care Nurses, vol. 17, no. 4, pp. 328-334. en_US
dc.identifier.issn 1062-3264 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/12851
dc.description.abstract Background Critically ill patients are at increased risk for pressure ulcers, which increase patients' morbidity and mortality. Quality improvement projects decrease the frequency of pressure ulcers. Objectives To improve patients' outcomes by reducing the prevalence of pressure ulcers, identifying areas for improvement in prevention of pressure ulcers, and increasing the adoption of preventive strategies in an intensive care unit. Method Quasi-experimental methods were used for this quality improvement project in which 563 surveys of patients' skin were performed during 22 audits conducted during a 26-month period. One-on-one clinical instruction was provided to bedside nurses during the surveys, and pressure ulcer data were displayed in the clinical area. Results The frequency of pressure ulcers of all stages showed an overall downward trend, and the prevalence decreased from 50% to 8%. The appropriate allocation of pressure-relieving devices increased from 75% up to 95% to 100%. The likely origin of the ulcer (ie, whether it was hospital or community acquired) and the anatomical site of the pressure ulcers did not change during the study period. Conclusions This program was successful in reducing the prevalence of pressure ulcers among vulnerable intensive care patients and indicates that quality improvement is a highly effective formula for improving patients' outcomes that is easily implemented by using clinical expertise and existing resources. en_US
dc.language en_US
dc.publisher American Association of Critical Care Nurses en_US
dc.relation.isbasedon en_US
dc.title Quality Improvement Program to Reduce the Prevalence of Pressure Ulcers in an Intensive Care Unit en_US
dc.parent American Journal Of Critical Care en_US
dc.journal.volume 17 en_US
dc.journal.number 4 en_US
dc.publocation CA, USA en_US
dc.identifier.startpage 328 en_US
dc.identifier.endpage 334 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 105764 en_US
dc.personcode 930003 en_US
dc.personcode 0000046462 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords en_US

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