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 journalArticle

    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 languageEnglish
    Pages (from-to)134-143
    Number of pages10
    JournalClinical Risk
    Volume20
    Issue number6
    DOIs
    Publication statusPublished - Nov 2014

    Fingerprint

    Pressure Ulcer
    Quality Improvement
    Ulcer
    incidence
    school grade
    science
    nursing
    Incidence
    Scotland
    Nursing
    Delivery of Health Care
    Safety

    Keywords

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

    Cite this

    Mackie, Susan ; Baldie, Deborah ; McKenna, Eileen ; O'Connor, Pat. / Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside. In: Clinical Risk. 2014 ; Vol. 20, No. 6. pp. 134-143.
    @article{eadb8fc1a2d24afebf7e264d886d5811,
    title = "Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside",
    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.",
    keywords = "Change models, Communicating risk, Improvement methods, Pressure ulcer, Risk management, Safe practice",
    author = "Susan Mackie and Deborah Baldie and Eileen McKenna and Pat O'Connor",
    year = "2014",
    month = "11",
    doi = "10.1177/1356262214562916",
    language = "English",
    volume = "20",
    pages = "134--143",
    journal = "Clinical Risk",
    issn = "1356-2622",
    publisher = "SAGE Publications",
    number = "6",

    }

    Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside. / Mackie, Susan (Lead / Corresponding author); Baldie, Deborah; McKenna, Eileen; O'Connor, Pat.

    In: Clinical Risk, Vol. 20, No. 6, 11.2014, p. 134-143.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Using quality improvement science to reduce the risk of pressure ulcer occurrence – a case study in NHS Tayside

    AU - Mackie, Susan

    AU - Baldie, Deborah

    AU - McKenna, Eileen

    AU - O'Connor, Pat

    PY - 2014/11

    Y1 - 2014/11

    N2 - 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.

    AB - 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.

    KW - Change models

    KW - Communicating risk

    KW - Improvement methods

    KW - Pressure ulcer

    KW - Risk management

    KW - Safe practice

    UR - http://www.scopus.com/inward/record.url?scp=84925671564&partnerID=8YFLogxK

    U2 - 10.1177/1356262214562916

    DO - 10.1177/1356262214562916

    M3 - Article

    VL - 20

    SP - 134

    EP - 143

    JO - Clinical Risk

    JF - Clinical Risk

    SN - 1356-2622

    IS - 6

    ER -