title: Utilizing a systems approach to implement pressure ulcer prediction and prevention.
abstract: 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.
authors.affiliation: Bryant Rolstad Consultants, LLC, Studio Offices at Station 19, 2001 University Avenue SE, Suite 200, Minneapolis, MN 55414, USA. partners@webwocnurse.com
authors.forename: R A
authors.initials: RA
authors.lastname: Bryant
authors.forename: B S
authors.initials: BS
authors.lastname: Rolstad
mesh_terms: 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*