title: From 'worst' to 'first' in pressure ulcer incidents.
abstract: Several departments are made part of the process. Regular audits are conducted and system errors addressed. Staffs receive regular communication on their performance.
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration; D006801:Humans; D008404:Massachusetts / Q000453:epidemiology; D019982:Organizational Case Studies; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*; D011785:Quality Assurance, Health Care / Q000379:methods*