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Development of Pressure Ulcer Program Across a University Health System

Carson, Dawn BA, RN, CWOCN, NHA; Emmons, Kevin MSN, RN, CWCN; Falone, William MSN, RN, CWON; Preston, Ave Maria MSN, RN, CWOCN

doi: 10.1097/NCQ.0b013e3182310f8b

Pressure ulcers were designated as a priority for quality care initiatives at the University of Pennsylvania Health System. The Penn Medicine Pressure Ulcer Collaborative was developed to address the complex issues of pressure ulcers. The Collaborative used a systematic approach to analyze, plan, and implement a health system–wide pressure ulcer program. As a result, the entire health system had a decrease in hospital-acquired pressure ulcer prevalence rates of 37%. This article describes the Collaborative's innovative approach to quality improvement.

Penn Presbyterian Medical Center (Ms Carson), Penn Medicine at Rittenhouse/Good Shepherd Penn Partners (Mr Emmons), Pennsylvania Hospital (Mr Falone), and Hospital of the University of Pennsylvania (Ms Preston), Philadelphia, Pennsylvania.

Correspondence: Kevin Emmons, MSN, RN, CWCN, 1800 Lombard St, Philadelphia, PA 19146 (

The authors declare no conflict of interest.

Accepted for publication: August 3, 2011.

Published online before print: September 10, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.