Reinforcing organizationwide pressure ulcer reduction on high-risk geriatric inpatient units.
Skin care and pressure ulcer prevention programs abound, although their content varies and their outcomes are often difficult to quantify. This article describes 2 complementary programs, their quality improvement processes, and a variety of ways of measuring their success. The first program was broad in scope, emphasizing system-wide changes in administration and coordination of resources, while the second focused on nursing education on high-risk units. These 2 approaches could be adapted for use in any health care setting.
Stier
Lori
L
North Shore-Long Island Jewish Health System, Great Neck, NY, USA. lstier@nshs.edu
Dlugacz
Yosef D
YD
O'Connor
Linda J
LJ
Eichorn
Ann M
AM
White
Maureen
M
Fitzpatrick
Joyce
J
D000368:Aged; D019985:Benchmarking / Q000458:organization & administration; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D019317:Evidence-Based Medicine; D005851:Geriatric Nursing / Q000193:education* / Q000592:standards*; D006757:Hospital Units; D006788:Hospitals, Voluntary; D006801:Humans; D015994:Incidence; D007318:Inservice Training / Q000458:organization & administration; D009518:New York / Q000453:epidemiology; D009741:Nursing Staff, Hospital / Q000193:education / Q000592:standards; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000592:standards*; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*; D019984:Quality Indicators, Health Care; D012307:Risk Factors; D017592:Skin Care / Q000592:standards*; D017749:Total Quality Management / Q000458:organization & administration*