Prevention Pressure Injury In Patient On Admission
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
Journal of Nursing Care Quality (J NURS CARE QUAL), Jul-Sep2021; 36(3): 249-256. (8p)
Article – research, tables/charts
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.
Core Nursing; Nursing; Peer Reviewed; USA
NLM UID: 9200672