prevention pressure injury in patient on admission
Implementing Evidence-Based Pressure Injury Prevention Interventions: Veterans Health Administration Quality Improvement Collaborative.
Authors:
Zubkoff, Lisa ; Neily, Julia ; McCoy-Jones, Shantia ; Soncrant, Christina ; Yinong Young-Xu ; Boar, Shoshana ; Mills, Peter
Affiliation:
VA National Center for Patient Safety, White River Junction, Vermont Geisel School of Medicine at Dartmouth, Hanover, New Hampshire Pressure Injury Prevention & Management FAC, Central Office, Washington, District of Columbia
Source:
Journal of Nursing Care Quality (J NURS CARE QUAL), Jul-Sep2021; 36(3): 249-256. (8p)
Publication Type:
Article - research, tables/charts
Language:
English
Major Subjects:
Pressure Ulcer -- Prevention and Control Medical Practice, Evidence-Based Veterans Quality Improvement Nursing Care Quality of Health Care -- Evaluation Collaboration
Minor Subjects:
Human ; Emollients -- Therapeutic Use ; Skin Care ; Patient Handling -- Methods ; Outcome Assessment ; Descriptive Statistics ; Retrospective Design
Abstract:
Background: Pressure injury prevention is a persistent concern in nursing. The Veterans Health Administration implemented a creative approach with successful outcomes across the United States. Problem: Pressure injury prevention is a measure of nursing quality of care and a high priority in the Veterans Health Administration. Methods: A 12-month Virtual Breakthrough Series Collaborative utilizing coaching and group calls was conducted to assist long-term and acute care teams with preventing pressure injuries. Interventions: Interventions from the Veterans Health Administration Skin Bundle were implemented, including pressure-relieving surfaces, novel turning techniques, specialized dressings, and emollients to prevent skin breakdown. Results: The aggregated pressure injury rate for all teams decreased from Prework to the Action phase from 1.0 to 0.8 per 1000 bed days of care (P = .01). The aggregated pressure injury rates for long-term care units decreased from Prework to Continuous Improvement from 0.8 to 0.4 per 1000 bed days of care (P = .021). Conclusion: The Virtual Breakthrough Series helped reduce pressure injuries.
Journal Subset:
Core Nursing; Nursing; Peer Reviewed; USA
ISSN:
1057-3631
MEDLINE Info:
NLM UID: 9200672
Entry Date:
20210602
Revision Date:
20210602
DOI:
Accession Number:
150544232