Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit.

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dc.contributor.author Elliott, R
dc.contributor.author McKinley, S
dc.contributor.author Fox, V
dc.date.accessioned 2010-07-15T07:27:42Z
dc.date.issued 2008-07
dc.identifier.citation American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2008, 17 (4), pp. 328 - 334
dc.identifier.issn 1062-3264
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/12851
dc.description.abstract BACKGROUND: Critically ill patients are at increased risk for pressure ulcers, which increase patients' morbidity and mortality. Quality improvement projects decrease the frequency of pressure ulcers. OBJECTIVES: To improve patients' outcomes by reducing the prevalence of pressure ulcers, identifying areas for improvement in prevention of pressure ulcers, and increasing the adoption of preventive strategies in an intensive care unit. METHOD: Quasi-experimental methods were used for this quality improvement project in which 563 surveys of patients' skin were performed during 22 audits conducted during a 26-month period. One-on-one clinical instruction was provided to bedside nurses during the surveys, and pressure ulcer data were displayed in the clinical area. RESULTS: The frequency of pressure ulcers of all stages showed an overall downward trend, and the prevalence decreased from 50% to 8%. The appropriate allocation of pressure-relieving devices increased from 75% up to 95% to 100%. The likely origin of the ulcer (ie, whether it was hospital or community acquired) and the anatomical site of the pressure ulcers did not change during the study period. CONCLUSIONS: This program was successful in reducing the prevalence of pressure ulcers among vulnerable intensive care patients and indicates that quality improvement is a highly effective formula for improving patients' outcomes that is easily implemented by using clinical expertise and existing resources.
dc.format Print
dc.language eng
dc.title Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit.
dc.type Journal Article
dc.parent American journal of critical care : an official publication, American Association of Critical-Care Nurses
dc.journal.volume 4
dc.journal.volume 17
dc.journal.number 4 en_US
dc.publocation CA, USA en_US
dc.identifier.startpage 328 en_US
dc.identifier.endpage 334 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 930003
dc.personcode 105764
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Treatment Outcome
dc.description.keywords Equipment and Supplies
dc.description.keywords Intensive Care Units
dc.description.keywords Adult
dc.description.keywords Aged
dc.description.keywords Aged, 80 and over
dc.description.keywords Nursing Staff, Hospital
dc.description.keywords Middle Aged
dc.description.keywords Pressure Ulcer
dc.description.keywords Quality Assurance, Health Care
dc.description.keywords Risk Factors
dc.description.keywords Female
dc.description.keywords Male
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)


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