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Enhancing Documentation of Pressure Ulcer Prevention Interventions: A Quality Improvement Strategy to Reduce Pressure Ulcers

Jacobson, Therese M. DNP, APRN, CNS, CWOCN; Thompson, Susan L. MS, APRN, CNS, CWCN; Halvorson, Anna M. MSN, RN, NQS; Zeitler, Kristine MSN, RN-BC, INS

doi: 10.1097/NCQ.0000000000000175

Prevention of hospital-acquired pressure ulcers requires the implementation of evidence-based interventions. A quality improvement project was conducted to provide nurses with data on the frequency with which pressure ulcer prevention interventions were performed as measured by documentation. Documentation reports provided feedback to stakeholders, triggering reminders and reeducation. Intervention reports and modifications to the documentation system were effective both in increasing the documentation of pressure ulcer prevention interventions and in decreasing the number of avoidable hospital-acquired pressure ulcers.

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Department of Nursing, Mayo Clinic, Rochester, Minnesota.

Correspondence: Therese M. Jacobson, DNP, APRN, CNS, CWOCN, Department of Nursing, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: December 19, 2015

Published ahead of print: February 9, 2016

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