Pressure ulcer prevention
Beth Melanson, RN, MSN, CCRN
Meg Nemitz, RN, BSN, CCRN
Katie O'Connell, RN, BSN
Kim Pritchard, RN, CCRN
- To reduce hospital-acquired pressure ulcer (HAPU) prevalence in the MICU 40 to 50 percent
- To provide pressure ulcer prevention and practice change education to 80 percent of nursing and Patient Care Assistant (PCA) staff
- To increase adherence to pressure ulcer bundle components
- Decreased the HAPU prevalence rate reported to Massachusetts Patient Care Link from 33.3 percent in March 2013 to 10.5 percent in December 2013 (68 percent reduction)
- Decreased HAPUs by five in the 19 weeks post educational intervention, for a projected annual fiscal impact of $590,884
- Decreased sacral/coccyx/gluteal cleft HAPUs by five in eight weeks as a result of the Mepilex border sacrum trial, for a projected annual fiscal impact of $1,403,350
- Achieved 100 percent attendance of staff during three education days (84 percent overall of permanent MICU staff and several float RNs)
- Increased average off-loading during 24 hours from seven times prior to staff education to eight times post education (less than target of 10 times)
- Average 60 percent adherence to the "four eyes on admission" process
- These outcomes resulted in a combined projected annual fiscal impact of $1,994,234.
The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.