Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics
AbstractA 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
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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.
Cano A, Anglade D, Stamp H, Joaquin F, Lopez JA, Lupe L, Schmidt SP, Young DL. Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics. Healthcare. 2015; 3(3):574-585.Chicago/Turabian Style
Cano, Amparo; Anglade, Debbie; Stamp, Hope; Joaquin, Fortunata; Lopez, Jennifer A.; Lupe, Lori; Schmidt, Steven P.; Young, Daniel L. 2015. "Improving Outcomes by Implementing a Pressure Ulcer Prevention Program (PUPP): Going beyond the Basics." Healthcare 3, no. 3: 574-585.