WOUND CAREPreventing Heel Pressure Ulcers Sustained Quality Improvement Initiative in a Canadian Acute Care FacilityHanna-Bull, DebbieAuthor Information Debbie Hanna-Bull, BScN, RN, MN, Skin & Wound Care Program, Peterborough Regional Health Centre, Peterborough, Ontario, Canada. Correspondence: Debbie Hanna-Bull, BScN, RN, MN, Skin & Wound Care Program, Peterborough Regional Health Centre, 1 Hospital Dr, Peterborough, ON K9J 7C6, Canada (firstname.lastname@example.org). The author declares no conflicts of interest. Journal of Wound Ostomy & Continence Nursing: March/April 2016 - Volume 43 - Issue 2 - p 129-132 doi: 10.1097/WON.0000000000000181 Buy Metrics Abstract The setting for this quality improvement initiative designed to reduce the prevalence of facility-acquired heel pressure ulcers was a regional, acute-care, 490-bed facility in Ontario, Canada, responsible for dialysis, vascular, and orthopedic surgery. An interdisciplinary skin and wound care team designed an evidence-based quality improvement initiative based on a systematic literature review and standardization of heel offloading methods. The prevalence of heel pressure ulcers was measured at baseline (immediately prior to implementation of initiative) and at 1 and 4 years following implementation. The prevalence of facility-acquired heel pressure ulcers was 5.8% when measured before project implementation. It was 4.2% at 1 year following implementation and 1.6% when measured at the end of the 4-year initiative. Outcomes demonstrate that the initiative resulted in a continuous and sustained reduction in facility-acquired heel pressure ulcer incidence over a 4-year period. © 2016 by the Wound, Ostomy and Continence Nurses Society.