Changing systems, changing cultures: Reducing pressure ulcers in hospitals

Joint Commission Journal on Quality and Patient Safety

Volumn 37, Issue 3, 2011, Pages 120-122

  Ayello, Elizabeth A ^a,b,c  

^a Excelsior College School of Nursing   (United States)

^b NEW YORK UNIVERSITY   (United States)

^c Harris and Associates   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DECUBITUS; ECONOMICS; GOVERNMENT; HEALTH CARE QUALITY; HOSPITAL PATIENT; HUMAN; LENGTH OF STAY; NOTE; ORGANIZATION; PRACTICE GUIDELINE; REIMBURSEMENT; RISK ASSESSMENT; STANDARD; STATISTICS; UNITED STATES;

CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); GUIDELINE ADHERENCE; HUMANS; INPATIENTS; INSURANCE, HEALTH, REIMBURSEMENT; LENGTH OF STAY; ORGANIZATIONAL CULTURE; PRESSURE ULCER; QUALITY ASSURANCE, HEALTH CARE; RISK ASSESSMENT; UNITED STATES;

EID: 79952552479     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1553-7250(11)37014-6     Document Type: Editorial

References (31)

1. Vangilder C., et al.: Results of the 20082009 International Pressure Ulcer Prevalence Survey and a 3-year, acute care, unit-specific analysis. Ostomy Wound Manage 55:39-45, Nov. 1, 2009.
2. Panel on the Prediction and Prevention of Pressure Ulcers in Adults: Pressure Ulcers in Adults: Prediction and Prevention. Clinical Practice Guideline No. 3. Publication No. 92-0047. Agency for Health Care Policy and Research, 1992. http://www.ncbi.nlm.nih.gov/books/NBK12157/ (last accessed Feb. 4, 2011).
3. Bergstrom N., et al.: Treatment of Pressure Ulcers in Adults. Clinical Practice Guideline No. 15. Agency for Health Care Policy and Research Publication 95-0652, Dec. 1994. http://www.ncbi.nlm.nih.gov/ books/NBK12202/ (last accessed Feb. 4, 2011).
4. Wound, Ostomy, and Continence Nurses Society (WOCN): Guideline for Prevention and Management of Pressure Ulcers. Mt. Laurel, NJ: WOCN, 2010.
5. Whitney J., et al.: Guidelines for the treatment of pressure ulcers. Wound Repair Regen 14:663-679, Nov.-Dec. 2006. (Pubitemid 44951307)
6. National Pressure Ulcer Advisory Panel (NPUAP) and European Pressure Ulcer Advisory Panel (EPUAP): Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Washington, DC: NPUAP, 2009.
7. Russo C.A., Steiner C., Spector W.: Hospitalizations Related to Pressure Ulcers, 2006. Healthcare Cost and Utilization Project Statistical Brief 64, Dec. 2008. Agency for Healthcare Research and Quality. http://www.hcup-us.ahrq.gov/ reports/statbriefs/sb64.pdf (last accessed Feb. 4, 2011).
8. Centers for Medicare & Medicaid Services (CMS): Hospital-Acquired Conditions (Present on Admission Indicator). https://www.cms.gov/ HospitalAcqCond/ (last accessed Jan. 28, 2011).
9. Centers for Medicare & Medicaid Services (CMS): State Operations Manual, Appendix PP. Guidance to Surveyors for Long Term Care Facilities. Rev. 70, Jan. 7, 2011. http://www.cms.gov/manuals/Downloads/som107ap-pp-guidelines- ltcf.pdf (last accessed Feb. 7, 2011).
10. Levine J.M. Historical notes: The cure of Ambrose Paré. Decubitus 5:23-26, Mar. 1992.
11. Nightingale F. Notes on Nursing: What It Is and What It Is Not. Philadelphia: Lippincott, 1859.
12. Ayello E.A., Lyder C.H.: A new era of pressure ulcer accountability in acute care. Adv Skin Wound Care 21:134-142, Mar. 2008.
13. Lyder C.H., Ayello E.A.: Annual checkup: The CMS pressure ulcer present-on-admission indicator. Adv Skin Wound Care 22:476-484, Oct. 2009.
14. Holmes A., Edelstein T.: Envisioning a world without pressure ulcers. Extended Care Product News 122:24-29, Oct. 2007.
15. Minnesota Hospital Association: Safe Skin Call to Action. http://www.mnhospitals.org/index/tools-app/tool.353 (last accessed Feb. 4, 2011).
16. Gibbons W., et al.: Eliminating facility-acquired pressure ulcers at Ascension Health. Jt Comm J Qual Patient Saf 32:488-496, Sep. 2006.
17. Stewart S., Box-Parksep J.S.: Preventing hospital acquired pressure ulcers: A point of prevalence study. Ostomy/Wound Manage 50:46-51, Mar. 2004.
18. Hiser B., et al.: Implementing a pressure ulcer prevention program and enhancing the role of the CWOCN: Impact on outcomes. Ostomy/Wound Manage 52:48-59, Feb. 2006.
19. Catania K., et al.: PUPPI: The Pressure Ulcer Prevention Protocol Interventions. Am J Nurs 107:44-52, Apr. 2007.
20. Griffin B., et al.: Best-practice protocols: Reducing harm from pressure ulcers. Nurs Manage 29-31, 69, Sep. 2007.
21. Chicano S.G., Drolshagen C.: Reducing hospital-acquired pressure ulcers. J Wound Ostomy Continence Nurs 36:45-50, Jan.-Feb. 2009.
22. McInerney J.A.: Reducing hospital-acquired pressure ulcer prevalence through a focused prevention program. Adv Skin Wound Care 21:75-78, Feb. 2008.
23. Walsh N.S., Blanck A.W., Barrett K.L.: Pressure ulcer management in the acute care setting. A response to regulatory mandates. J Wound Ostomy Continence Nurs 36:385-388, Jul.-Aug. 2009.
24. Armstrong D.G., et al.: New Opportunities to Improve Pressure Ulcer Prevention and Treatment: Implications of the CMS Inpatient Hospital Care Present on Admission (POA) Indicators/Hospital-Acquired Conditions (HAC) Policy. May 14, 2008. http://www.woundsresearch.com/content/ new-opportunities-improve- pressure-ulcer-prevention-and-treatment (last accessed Feb. 4, 2011).
25. Vose A., et al.: Establishing a comprehensive networkwide pressure ulcer identification process. Jt Comm J Qual Patient Saf 37:131-137, Mar. 2011.
26. Dahlstrom M., et al.: Improving identification and documentation of pressure ulcers at an urban academic hospital. Jt Comm J Qual Patient Saf 37:123-130, Mar. 2011.
27. Levine J.M., Ayello E.A.: Pocket Guide to Pressure Ulcers. Princeton, NJ: New Jersey Hospital Association, 2010.
28. Centers for Medicare & Medicaid Services (CMS): Home Health Quality Initiatives: OASIS C. http://www1.cms.gov/HomeHealthQualityInits/06-OASISC.asp. (last accessed Feb. 3, 2011).
29. Centers for Medicare & Medicaid Services (CMS): MDS 3.0 for Nursing Homes and Swing Bed Providers (includes RAI Manual Version 3.0 and MDS Forms). http://www.cms.hhs.gov/Nursinghomequalityinits/25-NHQIMDS30.asp (last accessed Feb. 3, 2011).
30. Berlowitz D.R.: Putting together a pressure ulcer prevention toolkit for the Agency for Healthcare Research and Quality (AHRQ). Paper presented at the American Geriatric Society, Orlando, Florida, May 15, 2010. http://www. americangeriatrics.org/annual-meeting/2010-meeting-handouts/saturday/ pressure-ulcers/ (last accessed Feb. 4, 2011).
31. Abruzzese R.S.: The first decubitus editorial⋯20 years later. Adv Skin Wound Care 20:72, Feb. 2007. http://www.nursingcenter.com/library/ JournalArticle.asp?Article-ID=695176 (last accessed Feb. 4, 2011).