Document Type
Article
Publication Date
7-17-2015
Publication Title
Healthcare
Volume
3
Issue
3
First page number:
574
Last page number:
585
Abstract
A multidisciplinary process improvement program was initiated at the University of Miami Hospital (UMH) in 2009 to identify the prevalence of hospital-acquired pressure ulcers (HAPU) at the institution and to implement interventions to reduce the incidence of HAPU. This deliberate and thoughtful committee-driven process evaluated care, monitored results, and designed evidence-based strategic initiatives to manage and reduce the rate of HAPU. As a result all inpatient beds were replaced with support surfaces, updated care delivery protocols were created, and monitored, turning schedules were addressed, and a wound, ostomy, and continence (WOC) nurse and support staff were hired. These initial interventions resulted in a decrease in the prevalence of HAPU at UMH from 11.7% of stage II to IV ulcers in the second quarter, 2009 to 2.1% the third quarter. The rate remained at or near the 2009 UMH benchmark of 3.1% until the first quarter of 2012 when the rate rose to 4.1%. At that time new skin products were introduced into practice and continuing re-education was provided. The rate of HAPU dropped to 2.76% by the second quarter of 2012 and has remained steadily low at 1%–2% for nine consecutive quarters.
Keywords
Pressure ulcer prevention; Hospital-acquired pressure ulcers; Pressure ulcer prevention education; Skin care
Disciplines
Physical Therapy
File Format
File Size
122 KB
Language
English
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Repository Citation
Cano, A.,
Anglade, D.,
Stamp, H.,
Joaquin, F.,
Lopez, J. A.,
Lupe, L.,
Schmidt, S. P.,
Young, D. L.
(2015).
Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics.
Healthcare, 3(3),
574-585.
http://dx.doi.org/10.3390/healthcare3030574