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Reducing Hospital-Acquired Pressure Ulcers: A Quality Improvement Project Across 21 Hospitals

Crawford, Barbara MS, RN; Corbett, Nancy MHA, RN; Zuniga, Anita MSN, RN

doi: 10.1097/NCQ.0000000000000060

A quality improvement initiative across 21 hospitals incorporated a multidisciplinary approach, breakthrough collaborative methods, evidence-based improvement methods and care guidelines, front-line rapid improvement cycles, consistent process-of-care documentation, and real-time incidence data. Statistically significant decreases in both all-stage and stages III, IV, and unstageable hospital-acquired pressure ulcers rates have been sustained for 5 years.

Quality & Regulatory Services, Kaiser Foundation Health Plan and Hospitals (Ms Crawford), Kaiser Permanente Northern California Regional Risk Management (Ms Corbett), and Kaiser Permanente Northern California Patient Care Services (Ms Zuniga), Oakland, California.

Correspondence: Barbara Crawford, MS, RN, Kaiser Permanente Foundation Health Plan and Hospitals, Northern California, 1950 Franklin St, 20th Floor, Oakland, CA 94612 (

The authors declare no conflict of interest.

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Accepted for publication: February 18, 2014

Published ahead of print: March 18, 2014

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins