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Addressing Hospital-Acquired Pressure Ulcers: Patient Care Managers Enhancing Outcomes at the Point of Service

Frumenti, Jeanine M. DNP, RN; Kurtz, Abby EdD, RN-BC

Journal of Nursing Administration: January 2014 - Volume 44 - Issue 1 - p 30–36
doi: 10.1097/NNA.0000000000000018

An innovative leadership training program for patient care managers (PCMs) aimed at improving the management of operational failures was conducted at a large metropolitan hospital center. The program focused on developing and enhancing the transformational leadership skills of PCMs by improving their ability to manage operational failures in general and, in this case, hospital-acquired pressure ulcers. The PCMs received 8 weeks of intense training using the Toyota Production System process improvement approach, along with executive coaching. Compared with the control group, the gains made by the intervention group were statistically significant.

Author Affiliations: Vice President, Patient Care Services/Chief Nursing Officer (Dr Frumenti), and Director, Nursing Education & Research (Dr Kurtz), Bronx-Lebanon Hospital Center, New York.

The authors declare no conflicts of interest.

Correspondence: Dr Frumenti, Bronx-Lebanon Hospital Center, 1650 Grand Concourse, 2nd Fl, Bronx, NY 10457 (

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins