Decreasing pressure ulcer risk during hospital procedures: A rapid process improvement workshop

Vicki Haugen, Judy Pechacek, Travis Maher, Joy Wilde, Larry Kula, Julie Powell

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

A 300-bed acute care community hospital used a 2-day "Rapid Process Improvement Workshop" to identify factors contributing to facility-acquired pressure ulcers (PU). The Rapid Process Improvement Workshop included key stakeholders from all procedural areas providing inpatient services and used standard components of rapid process improvement: data analysis, process flow charting, factor identification, and action plan development. On day 1, the discovery process revealed increased PU risk related to prolonged immobility when transporting patients for procedures, during imaging studies, and during the perioperative period. On day 2, action plans were developed that included communication of PU risk or presence of an ulcer, measures to shorten procedure times when clinically appropriate, implementation of prevention techniques during procedures, and recommendations for mattress upgrades. In addition, educational programs about PU prevention were developed, schedules for presentations were established, and an online power point presentation was completed and placed in a learning management system module. Finally, our nursing department amended a hospital wide handoff communication tool to include skin status and PU risk level. This tool is used in all patient handoff situations, including nonnursing departments such as radiology. Patients deemed at risk for ulcers were provided "Braden Risk" armbands to enhance interdepartmental awareness.

Original languageEnglish (US)
Pages (from-to)155-159
Number of pages5
JournalJournal of Wound, Ostomy and Continence Nursing
Volume38
Issue number2
DOIs
StatePublished - Mar 2011

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