Nosocomial pressure ulcer rates in critical care: performance improvement project

  • Wolverton C
  • Hobbs L
  • Beeson T
 et al. 
  • 4

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

Assessment, monitoring, and prevention of pressure ulcers in the hospitalized patient are required standards of care. The annual nosocomial pressure ulcer (NPU) rates for the adult intensive care units at our facility had trended up to 33% from 14% over a 13-month period. Our performance improvement team decided to track 5 variables that may have contributed to the increased incidence of NPU. Weekly skin care rounds were conducted to collect data, educate staff, and reinforce skin care policy and standards of care. Data analysis revealed 3 areas that required further emphasis with nursing staff: daily assessment with the Braden Scale, prevention of NPU beginning on the day of hospital admission, and the effect of sedation on patient mobility. Implementation of appropriate interventions targeted to specific Braden subscales needs to be included in the plan of care.

Author-supplied keywords

  • Academic Medical Centers
  • Adult
  • Aged
  • Conscious Sedation/adverse effects
  • Critical Care/ methods/standards
  • Data Collection
  • Data Interpretation, Statistical
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Midwestern United States/epidemiology
  • Needs Assessment
  • Nursing Assessment/methods/standards
  • Nursing Audit
  • Nursing Evaluation Research
  • Patient Care Planning
  • Pressure Ulcer/ epidemiology/etiology/nursing/ pre
  • Professional Staff Committees/organization & admin
  • Risk Assessment
  • Risk Factors
  • Total Quality Management/ organization & administr

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Authors

  • C L Wolverton

  • L A Hobbs

  • T Beeson

  • M Benjamin

  • K Campbell

  • C Forbes

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free