Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics

Healthcare

Amparo Cano¹  Debbie Anglade⁴  Hope Stamp¹  Fortunata Joaquin¹  Jennifer A. Lopez¹  Lori Lupe¹  Steven P. Schmidt³  Daniel L. Young² 

[1] University of Miami Hospital, Miami FL, 1400 NW 12th Avenue, Miami, FL 33136, USA; E-Mails:;Department of Physical Therapy, University of Nevada Las Vegas, 4505 Maryland Pkwy., Box 453029, Las Vegas, NV 89154, USA; E-Mail:;Department of Pharmaceutical Sciences, Northeast Ohio Medical University, Rootstown, OH 44272, USA; E-Mail:;School of Nursing and Health Studies, University of Miami, Brunson Drive, Coral Gables, FL 33146, USA; E-Mail:

关键词: pressure ulcer prevention;    hospital-acquired pressure ulcers;    pressure ulcer prevention education;    skin care;   

DOI  :  10.3390/healthcare3030574

来源: mdpi

【 摘 要 】

A multidisciplinary process improvement program was initiated at the University of Miami Hospital (UMH) in 2009 to identify the prevalence of hospital-acquired pressure ulcers (HAPU) at the institution and to implement interventions to reduce the incidence of HAPU. This deliberate and thoughtful committee-driven process evaluated care, monitored results, and designed evidence-based strategic initiatives to manage and reduce the rate of HAPU. As a result all inpatient beds were replaced with support surfaces, updated care delivery protocols were created, and monitored, turning schedules were addressed, and a wound, ostomy, and continence (WOC) nurse and support staff were hired. These initial interventions resulted in a decrease in the prevalence of HAPU at UMH from 11.7% of stage II to IV ulcers in the second quarter, 2009 to 2.1% the third quarter. The rate remained at or near the 2009 UMH benchmark of 3.1% until the first quarter of 2012 when the rate rose to 4.1%. At that time new skin products were introduced into practice and continuing re-education was provided. The rate of HAPU dropped to 2.76% by the second quarter of 2012 and has remained steadily low at 1%–2% for nine consecutive quarters.

【 授权许可】

CC BY   
© 2015 by the authors; licensee MDPI, Basel, Switzerland.