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Healthcare 2015, 3(3), 574-585; doi:10.3390/healthcare3030574

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

1
University of Miami Hospital, Miami FL, 1400 NW 12th Avenue, Miami, FL 33136, USA
2
School of Nursing and Health Studies, University of Miami, Brunson Drive, Coral Gables, FL 33146, USA
3
Department of Pharmaceutical Sciences, Northeast Ohio Medical University, Rootstown, OH 44272, USA
4
Department of Physical Therapy, University of Nevada Las Vegas, 4505 Maryland Pkwy., Box 453029, Las Vegas, NV 89154, USA
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editor: Zena Moore
Received: 1 May 2015 / Revised: 28 June 2015 / Accepted: 9 July 2015 / Published: 17 July 2015
(This article belongs to the Special Issue Wound Care)
View Full-Text   |   Download PDF [121 KB, uploaded 17 July 2015]   |  

Abstract

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. View Full-Text
Keywords: pressure ulcer prevention; hospital-acquired pressure ulcers; pressure ulcer prevention education; skin care pressure ulcer prevention; hospital-acquired pressure ulcers; pressure ulcer prevention education; skin care
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cano, A.; Anglade, D.; Stamp, H.; Joaquin, F.; Lopez, J.A.; Lupe, L.; Schmidt, S.P.; Young, D.L. Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics. Healthcare 2015, 3, 574-585.

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