title: A Single Long-Term Acute Care Hospital Experience with a Pressure Ulcer Prevention Program.
abstract: OBJECTIVE
  The occurrence of pressure ulcers (PrUs) challenges care facilities. Few studies report PrU reduction efforts in long-term acute care (LTAC). This study described the PrU reduction efforts of a single, LTAC facility using the Medline Pressure Ulcer Prevention Program (mPUPP).
  
  
  METHODS
  This study was a quasi-experimental, quality improvement project, with pre- and postmeasurement design.
  
  
  METHODS
  Outcomes were tracked for 24 months. The mPUPP was implemented in month 11. Education for caregivers was provided through an interactive web-based suite. In addition, all Patient Care Technicians attended a 4-week 1-hour inservice. New skin care products were implemented. The facility also implemented an algorithm for treatment of wounds.
  
  
  RESULTS
  There was a significant reduction in the mean monthly hospital-acquired PrU (nPrU) rate when preprogram is compared to postprogram.
  
  
  CONCLUSIONS
  Sustainable nPrU reduction can be achieved with mPUPP.
  
  
  CONCLUSIONS
  LTAC hospitals could expect to reduce nPrU with education and incentive of caregivers.
authors.affiliation: Department of Physical Therapy, School of Allied Health Sciences, University of Nevada, Las Vegas, NV, USA.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Young
authors.affiliation: Specialty Hospital of Washington-Hadley, SW Washington, DC, USA.
authors.forename: Cathy
authors.initials: C
authors.lastname: Borris-Hale
authors.affiliation: Medline Industries, Inc., Mundelein, IL, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Falconio-West
authors.affiliation: Medline Industries, Inc., Mundelein, IL, USA.
authors.forename: Debashish
authors.initials: D
authors.lastname: Chakravarthy
mesh_terms: D004509:Education, Nursing, Continuing; D006786:Hospitals, Urban; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D009735:Nursing Homes; D009741:Nursing Staff, Hospital / Q000193:education*; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000451:nursing* / Q000517:prevention & control*; D015397:Program Evaluation; D019145:Rehabilitation Nursing / Q000193:education* / Q000379:methods* / Q000592:standards; D013997:Time Factors; D014481:United States
keywords: Pressure ulcer; hospital-acquired; nosocomial; pressure ulcer prevention program; quality improvement