AHRQ Innovations Exchange | Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers

Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers

Summary
Bay Pines Veterans Affairs Healthcare System developed a comprehensive, interdisciplinary skin care program designed to reduce the incidence and improve the treatment of hospital-acquired pressure ulcers. The program includes the following key elements: standardized protocols and guidelines to encourage proactive assessment and treatment; regular educational rounds for nurses; periodic training for unit nurses and nurse skin care specialists; and ongoing performance monitoring and reporting. The program reduced the incidence of pressure ulcers by 48.7 percent for nine consecutive quarters between 2006 and 2008, and has led to high levels of satisfaction from participating staff and patients.

Evidence Rating
Moderate: The evidence consists of a comparison of pressure ulcer rates before and after implementation, along with post-implementation perspectives on the program from participating nurses.

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AHRQ Innovations Exchange | Interdisciplinary, Comprehensive Skin Care Program Significantly Reduces Hospital-Acquired Pressure Ulcers