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Use of an Intervention Bundle to Eliminate Pressure Ulcers in Critical Care

Gray-Siracusa, Kathy PhD, RN, MBA, NEA-BC; Schrier, Linda BSN, RN, CCRN

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e31820e11be

Nursing staff chose to eliminate hospital-acquired pressure ulcers in their intensive care unit through implementation of an intervention bundle. A bundle of 7 interventions (pressure ulcer bundle, PUB) was developed through review of current evidence. After implementation, quarterly hospital-acquired pressure ulcer rates decreased and continued to remain below 1% throughout the year, and the goal of no pressure ulcers was met for 2 months. The PUB interventions have potential for use in a variety of settings where there are bed-bound patients.

Author Information

College of Nursing, Villanova University, Villanova and St Mary Medical Center, Langhorne (Dr Gray-Siracusa) and Cardiovascular and Coronary Care Unit, St Mary Medical Center, Langhorne (Ms Schrier), Pennsylvania.

Correspondence: Kathy Gray-Siracusa, PhD, RN, MBA, NEA-BC, College of Nursing, Villanova University, 800 E Lancaster Ave, Villanova, PA 19085 (

Funding was obtained in part from the South Eastern Pennsylvania Organization of Nurse Leaders (SEPONL). Other support includes the resources and use of facilities at St Mary Medical Center.

Accepted for publication January 4, 2011

© 2011 Lippincott Williams & Wilkins, Inc.