Reduction of Nosocomial Pressure Ulcers
University of Minnesota Medical Center, Fairview
Minneapolis, Minnesota, USA
Team
Becky Jo Lekander, RN, PhD, Director of Nursing Research and Outcomes (Champion)
Tope Akinikuotu, RN, MSN, APRN-BC Medical/Surgical Clinical Nurse Specialist (Team Lead)
Sandra Griffin, RN, Wound Ostomy Continence Nurse
Teri Garin, RN, Wound Ostomy Continence Nurse
Michael Flynn, RN, Special Programs Nurse Manager
Mary Jean Vickers, RN, MSN, Nursing Recognition and Development Specialist
Nancy Ohnstad, RN, Organizational Learning Specialist
Diane Nalezny, RN, BS, Clinical Quality Consultant
Aim
To decrease the nosocomial pressure ulcer rate on acute care units at the University of Minnesota Medical Center, Fairview.
Measures
Prevalence and incidence surveys, once per quarter, of all adult acute care hospitalized patients.
Changes
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Developed a Pressure Ulcer Prevention Task Force
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Created a Pressure Ulcer Prevention Policy
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Created unit-based role of Skin Care Champions (nurse leader) who receive special ongoing education, assist in the quarterly prevalence and incidence surveys, and are role models, mentors and resources to their patient care units
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Standardized documentation of pressure ulcer risk and skin assessments
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Measured and posted results of assessment documentation completion rates
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Created easy to use support surface (bed) algorithms
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Developed incontinence protocols
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Conduct quarterly prevalence and incidence pressure ulcer surveys; unit results are shared openly throughout the entire facility
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Expanded pressure ulcer prevention strategies to ancillary areas of the hospital where pressure injuries may also occur (i.e., perioperative services, radiology, dialysis and emergency departments)
Results
Summary of Results / Lessons Learned / Next Steps
The University of Minnesota Medical Center, Fairview experienced a 70 percent improvement in reducing nosocomial pressure ulcers in our adult inpatient population.
Lessons Learned
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Creation and acceptance of the role of the unit-based Skin Care Champions is seen as vital to our overall success.
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Public recognition from senior leadership of all the efforts made to reduce the nosocomial pressure ulcer rate, which dramatically impacted the care and well-being of our patients.
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Openly and joyfully celebrating our successes.
Contact Information
Diane T. Nalezny, RN
Clinical Quality Consultant
University of Minnesota Medical Center, Fairview
DNALEZN1@fairview.org
[Storyboard presentation at IHI's National Forum, December 2006]
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