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Reducing Hospital-Acquired Pressure Ulcer Prevalence Through a Focused Prevention Program

McInerney, Joan A. MSN, RN, BC, CWOCN

Advances in Skin & Wound Care: February 2008 - Volume 21 - Issue 2 - p 75-78
doi: 10.1097/01.ASW.0000305410.58350.34
FEATURES: ORIGINAL INVESTIGATION
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OBJECTIVE: To provide health care organizations with strategies for decreasing the prevalence of hospital-acquired pressure ulcers.

DESIGN: Hospital-acquired pressure ulcer prevalence was measured every 6 months for 4.5 years while multiple strategies were implemented.

SETTING: The study took place in a not-for-profit, 548-bed, 2-hospital system in Southwest Florida.

PATIENTS: All adult patients with the exception of those admitted for obstetric or mental health care.

INTERVENTIONS: An assortment of interventions were implemented, including electronic medical records, risk assessment tied to automatic consults, pressure relief measures including new equipment and personnel augmentation, and an interdisciplinary team to decide on protocols.

MAIN RESULTS: Hospital-acquired prevalence rate for all pressure ulcers was reduced by 81%. The rate for heel ulcers alone was reduced by 90%.

CONCLUSION: A pressure ulcer prevention program has been developed, which has shown a trend toward improved patient outcomes with a resultant cost savings.

In this study, the hospital-acquired prevalence rate for all pressure ulcers was reduced by 81% and the rate for heel ulcers alone was reduced by 90%.

Joan A. McInerney, MSN, RN, BC, CWOCN, is the WOC Nurse Coordinator at NCH Healthcare System, Naples, FL.

© 2008 Lippincott Williams & Wilkins, Inc.