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 (firstname.lastname@example.org).
The authors declare no conflict of interest.
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Accepted for publication: February 18, 2014
Published ahead of print: March 18, 2014