Utilizing a systems approach to implement pressure ulcer prediction and prevention.
Efficient, effective patient care is an objective shared by all healthcare settings and systems. It is generally accepted that using national clinical guidelines facilitates pursuit of this objective. However, implementation of a guideline, or any process improvement activity, requires a systematic, collaborative approach from which new processes can be purposefully designed. This article reviews systems theory, presents the steps for process improvement using the Plan/Do/Check/Act cycle, and references a recent statewide quality improvement study conducted by the authors in collaboration with Stratis Health, a Minnesota Medical Peer Review Organization.
Bryant
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Bryant Rolstad Consultants, LLC, Studio Offices at Station 19, 2001 University Avenue SE, Suite 200, Minneapolis, MN 55414, USA. partners@webwocnurse.com
Rolstad
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D001513:Beds / Q000592:standards; D001696:Biomechanical Phenomena; D006282:Health Personnel / Q000193:education; D006801:Humans; D008910:Minnesota; D009730:Nursing Assessment; D009731:Nursing Audit; D010353:Patient Education as Topic / Q000592:standards; D017410:Practice Guidelines as Topic / Q000592:standards*; D011237:Predictive Value of Tests; D003668:Pressure Ulcer / Q000209:etiology* / Q000517:prevention & control*; D017064:Process Assessment, Health Care / Q000458:organization & administration*; D011366:Professional Review Organizations; D018570:Risk Assessment; D012307:Risk Factors; D017592:Skin Care / Q000379:methods / Q000451:nursing / Q000592:standards; D013597:Systems Analysis; D017749:Total Quality Management / Q000458:organization & administration*