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 |
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Pages (from-to) | 134-143 |
Number of pages | 10 |
Journal | Clinical Risk |
Volume | 20 |
Issue number | 6 |
DOIs | |
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