Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside

Susan Mackie; Deborah Baldie; Eileen McKenna; Pat O'Connor

doi:10.1177/1356262214562916

Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside

Susan Mackie (Lead / Corresponding author), Deborah Baldie, Eileen McKenna, Pat O'Connor

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Pressure ulcer prevention is core to nursing practice and as such is often overlooked as a safety risk. A multifaceted quality improvement initiative guided by both Felgen’s Model and the Model for Improvement delivered implemented in a systematic way led to significant improvements in the prevalence and incidence of pressure ulcers. Prevalence of all ulcers was reduced from 21% to 7% and to 3.1% when grade 1 ulcers are removed from analysis. Incidence (i.e. ulcers acquired in hospital) was reduced from 6.6% to 2.4% and 1.4% when grade 1 ulcers are removed from the analysis. Furthermore, improvements have been sustained for more than 2 years. This paper presents a case study of framework for change developed across a healthcare region NHS Tayside in Scotland.

Original language	English
Pages (from-to)	134-143
Number of pages	10
Journal	Clinical Risk
Volume	20
Issue number	6
DOIs	https://doi.org/10.1177/1356262214562916
Publication status	Published - Nov 2014

Keywords

Change models
Communicating risk
Improvement methods
Pressure ulcer
Risk management
Safe practice

ASJC Scopus subject areas

General Medicine
Law

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10.1177/1356262214562916

Cite this

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abstract = "Pressure ulcer prevention is core to nursing practice and as such is often overlooked as a safety risk. A multifaceted quality improvement initiative guided by both Felgen{\textquoteright}s Model and the Model for Improvement delivered implemented in a systematic way led to significant improvements in the prevalence and incidence of pressure ulcers. Prevalence of all ulcers was reduced from 21% to 7% and to 3.1% when grade 1 ulcers are removed from analysis. Incidence (i.e. ulcers acquired in hospital) was reduced from 6.6% to 2.4% and 1.4% when grade 1 ulcers are removed from the analysis. Furthermore, improvements have been sustained for more than 2 years. This paper presents a case study of framework for change developed across a healthcare region NHS Tayside in Scotland.",

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Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside

Abstract

Keywords

ASJC Scopus subject areas

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