ArticlesApplying the PDSA Framework to Examine the Use of the Clinical Nurse Leader to Evaluate Pressure Ulcer ReportingPolancich, Shea PhD, RN; Coiner, Sarah MSN, RN-BC, CNL; Barber, Rebekah MSN, RN, CNL; Poe, Terri DNP, RN, NE-BC; Roussel, Linda PhD, RN, CNL; Williams, Kelley MSN, RN; Cumbest, Heather MSN, RN; Noles, Kristen MSN, RN, CNL; Herrero, Ashlea MSHQS, LSSGB; Graham, Shannon DNP, RN, NE-BC; Miltner, Rebecca PhD, RN, CNL, NEA-BCAuthor Information UAB School of Nursing (Drs Polancich, Roussel, and Miltner), and Center for Nursing Excellence (Ms Herrero and Dr Graham), UAB Hospital (Drs Polancich and Poe and, Mss Coiner, Barber, Williams, Cumbest, and Noles), Birmingham, Alabama. Correspondence: Shea Polancich, PhD, RN, UAB School of Nursing, 1720 2nd Ave South, NB 352, Birmingham, AL 35294 ([email protected]). The authors declare no conflicts of interest.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).Accepted for publication: January 3, 2017Published ahead of print: March 20, 2017 Journal of Nursing Care Quality: October/December 2017 - Volume 32 - Issue 4 - p 293-300 doi: 10.1097/NCQ.0000000000000251 Buy SDC Take the CE Test Metrics Abstract The clinical nurse leader (CNL) role has been cited as an effective strategy for improving care at the microsystem level. The purpose of this article is to describe the use of the CNL role in an academic medical center for evaluating pressure ulcer reporting. The Plan-Do-Study-Act cycle was used as the methodological framework for the study. The CNL assessment of pressure ulcers resulted in a 21% to 50% decrease in the number of hospital-acquired pressure ulcers reported in a 3-month time period. The CNL role has potential for improving the validity and reliability of pressure ulcer reporting. © 2017 Wolters Kluwer Health, Inc. All rights reserved.