title: A quality-oriented approach to pressure ulcer management in a nursing facility.
abstract: The Jewish Home and Hospital for Aged, Bronx Division, is an 816-bed nursing facility that has developed a strategy for pressure ulcer management which relies on documentation, data flow, and feedback. Our system incorporates principles of Quality Improvement, and has resulted in a remarkably low nosocomial ulcer prevalence rate of 3.1%. We discuss Quality Improvement in the nursing facility and examine the value of pressure ulcer prevalence as a quality indicator. We present details of our system, highlighting the flow of information which comprises the Quality Improvement infrastructure, and include a discussion of benefits and costs of our system.
authors.affiliation: Jewish Home and Hospital for Aged, Bronx, NY 10468.
authors.forename: J M
authors.initials: JM
authors.lastname: Levine
authors.forename: E
authors.initials: E
authors.lastname: Totolos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002985:Clinical Protocols; D003362:Cost-Benefit Analysis; D003625:Data Collection; D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D009519:New York City; D009735:Nursing Homes / Q000592:standards; D009737:Nursing Records; D010348:Patient Care Team; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*; D015995:Prevalence; D011785:Quality Assurance, Health Care / Q000458:organization & administration*