title: Pressure ulcer prevention program: a journey.
abstract: The Centers for Medicare & Medicaid Services' regulations regarding nonpayment for hospital-acquired conditions such as pressure ulcers have prompted a marked increase in focus on preventive care. Our hospital also used this change in payment policy as an opportunity to strengthen our pressure ulcer prevention practices. We used an 8-spoke prevention wheel to develop and implement practice changes that reduced pressure ulcer incidence from 7.3% to 1.3% in 3 years. Because it is about the journey, we will describe the mechanisms we designed and implemented, and identify strategies that worked or did not work as we promulgated a quality improvement process for pressure ulcer prevention in our large urban hospital center.
authors.affiliation: NYU Langone Medical Center, New York, NY 10016, USA. Barbara.delmore@nyumc.org
authors.forename: Barbara
authors.initials: B
authors.lastname: Delmore
authors.forename: Sarah
authors.initials: S
authors.lastname: Lebovits
authors.forename: Philip
authors.initials: P
authors.lastname: Baldock
authors.forename: Barbara
authors.initials: B
authors.lastname: Suggs
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Ayello
mesh_terms: D000046:Academic Medical Centers; D014487:Centers for Medicare and Medicaid Services, U.S.; D017046:Cost Savings; D055318:Evidence-Based Nursing; D005260:Female; D017048:Health Care Costs; D006284:Health Plan Implementation / Q000458:organization & administration; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics; D006278:Medicare / Q000191:economics; D003668:Pressure Ulcer / Q000191:economics* / Q000451:nursing / Q000517:prevention & control*; D011322:Primary Prevention / Q000458:organization & administration*; D011445:Prospective Payment System / Q000191:economics / Q000331:legislation & jurisprudence; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D014481:United States