Quality Improvement: Pressure Ulcers Essay

1689 words - 7 pages

Quality improvement issues in healthcare focus on the care that patients receive and the outcomes that patients experience. Nurses play a major advocacy role for ensuring safe and quality care to all patients. Also, nurses share the responsibility in leading the efforts in improving patient care in all settings (Berwick, 2002). One of the ongoing problems plaguing hospitals and nursing homes is the development of new pressure ulcers in patients after admission. A pressure ulcer can be defined as a localized area of necrotic tissue that is likely to occur after soft tissue is compressed between a bony prominence and a surface for prolonged periods of time (Andrychuk, 1998). According to the Centers for Medicare and Medicaid, patients should never develop pressure ulcers while under the supervision of any medical institution because they are totally preventable (Berwick, 2002). The purpose of this paper is to discuss the problems associated with pressure ulcers, examine the progress on improving this specific issue, and explain the Plan, Do, Study, Act cycle that I would use to improve patient care in this area.
Problem: Pressure Ulcers
The reduction of pressure ulcer prevalence rates is a national healthcare goal (Lahmann, Halfens, & Dassen, 2010). Pressure ulcer development causes increased costs to the medical facility and delayed healing in the affected patients (Thomas, 2001). Standards and guidelines developed for pressure ulcer prevention are not always followed by nursing staff. For example, nurses are expected to complete a full assessment on new patients within 24 hours at most acute-care hospitals and nursing homes (Lahmann et al., 2010). A recent study on the causes of pressure ulcer development revealed that risk assessments such as the Gosnell Scale, Norton scale, and Braden scale are made available for use by nursing staff at the majority of medical facilities (Lahmann et al., 2010). However, only 10% of nurses actually complete accurate inspections of the skin during their initial physical assessments of the patients (Lahmann et al., 2010). As a result, patients who are at risk of developing pressure ulcers are often overlooked by nursing staff.
Evidence suggests that pressure ulcers greatly increase mortality rates in both hospitals and nursing homes (Thomas, 2001). Patients who develop a pressure ulcer within six weeks of admission to an acute-care facility are three times more likely to die than patients who do not develop pressure ulcers (Thomas, 2001). Moreover, patients who develop a pressure ulcer within three months of admission to a long-term care facility are associated with a 92% mortality rate compared with a 4% mortality rate for patients who do not develop them (Thomas, 2001). This evidence alone shows how significant this problem is to the overall health status of patients. In my personal nursing experience, I have heard many complaints voiced from patients and their...

Find Another Essay On Quality Improvement: Pressure Ulcers

Fundamentals in Becoming a Nurse Essay

1205 words - 5 pages financial risk. When safety is not made a priority, patients can progress into further problems, requiring care beyond what would have been necessary, which is not a desired outcome for anyone involved. Two issues that are of importance to nurses because of their ability to be prevented are surgical site infections and pressure ulcers. Both of these issues are directly related to the care that the patient receives from their nurse. The quality of

Pressure Ulcers in ICU Essay

2705 words - 11 pages (R.N.’s) blame the frequency of pressure ulcers in the ICU on not having enough time and the many machines and monitoring devices that are attached to patients which restricts patient movement. Pressure ulcer development in patients admitted to the ICU may be classified under the Quality and Safety Education for Nurses (QSEN) topic of safety. By definition, safety reduces the risk of harm to patients and providers thorough system effectiveness

Project in Policy, Politics and Global Health Trends

1380 words - 6 pages developed, Stage III, decubitus ulcers. A Stage III ulcer is described by the Center for Medicare and Medicaid Services (CMS) as a pressure ulcer with full thickness skin loss involving damage or necrosis of subcutaneous tissue ("PACE Level Two Reporting," 2010, p. 6). The ulcers were not identified by McGregor PACE nursing staff prior to admission to the nursing facility, nor were they identified by facility staff or PACE nursing staff, during

Prevention and care of pressure ulcers - evidence based paper

2514 words - 10 pages PAGE PAGE 1 Prevention and Care of Pressure Ulcers Running head: PREVENTION AND CARE OF PRESSURE ULCERSPrevention and Care of Pressure UlcersNUSC 434Prevention and Care of Pressure UlcersPressure ulcers are a commonly seen problem among elderly hospitalized patients. Despite new findings about the causes and approaches to treatment, the incidence of these wounds is still increasing. Scott, Gibran, Engrav, Mack and Rivara (2006) revealed that

Vacuum Assisted wound closure

3247 words - 13 pages wounds. As the successful treatment of chronic, unsalvageable wounds mounted, this treatment expanded to use with sub-acute and acute wounds. Chronic wounds such as stage III and IV pressure ulcers, along with venous, arterial and neuropathic ulcers, have all proven to be appropriate for negative pressure wound therapy. Sub-acute and acute wounds, including dehisced incisions, split thickness meshed skin grafts, and muscle flaps, have also been

What is the role of nurses in the community. Give detailed account of a patient cared for?

2551 words - 10 pages clinical practice.There will be a brief account of the patient's patient profile. Models used to identified the patient's actual and potential problems will be discussed. The author will then critique the models used identifying the strengths and limitations. (Care Plan in Appendix One) In conclusion the author will reflect on the care given and how it will enable self-improvement in providing quality nursing in the future.In compliance with the

Pancreatic Cancer Case Study

2988 words - 12 pages mouth with a moist sponge are usually effective. It is also important to document oral care for evaluation. Thorough hand washing is still one of the best ways to prevent infections (Safdar, 2010). Adverse Event 3 Pressure Ulcers (Australian Commission on Safety and Quality in Health Care, 2009). Pressure ulcer occurs when external pressure is exerted on soft tissues, especially over bony prominences for prolonged period of time. Most

The Benchmark data

915 words - 4 pages Valley Pennsylvania opened a new wing to their hospital and despite having a vision to have a commitment to excellent quality care, their initial numbers were indicating differently. The Press Ganey patient satisfaction results were low as well as their pressure ulcers were above benchmarks. Indicating not only was patient satisfaction not high, but the care patients were receiving was also affected. Prior to implementing a new process, Lehigh

Wound Care: The Use of Hydrocolloid Dressings in Client with Decubitus Ulcers Nursing Client with

1516 words - 7 pages catch on to fabric because of its adhesive edges which potentially to roll off the dressing from the skin. Frequent changing of this dressing will cause more expenses and distress to the patient. Moreover, constant application may account injury around the skin (Klode et al. 2011 In conclusion, decubitus ulcers have a major impact in patients’ quality of life and are very expensive to treat. Prevention is the essential part of pressure ulcer care

Comparative Analysis of DNA Polymorphisms and Phylogenetic Relationships Among Syzygium Cumini Skeels

576 words - 3 pages pressure [16]. Jamun is highly nutritive as it also contains important carbohydrates, free amino acids, minerals like sodium, potassium, calcium, phosphorous, iron, zinc and water soluble vitamins like ascorbic acid, thiamine and niacin [17, 18]. Considering the commercial and medicinal importance of this unexploited crop there is a great need for crop improvement and to develop varieties suitable for cultivation. Most of the S. cumini trees available

Evidence-Based Practice

950 words - 4 pages Part A Think about your specific practice setting. Based on your new knowledge of evidence-based practice, pick one unit procedure in your work place and explore whether it is based on research evidence or not. Discuss what you think would be needed to make the procedure more in line with best practice in the area or what was done to ensure that it was based on best practice. At Fremont-Rideout the big issue was pressure ulcers, every month

Similar Essays

Pressure Ulcers In Patients In The Icu

1751 words - 7 pages frequency of pressure ulcers on not having enough time to provide adequate care and the presence of machines and monitoring devices attached to patients, which restricts movement. Pressure ulcer development in patients admitted to the ICU is classified under the Quality and Safety Education for Nurses (QSEN) topic of safety. Safety by definition reduces the risk of harm to patients and providers through system effectiveness and individual performance

Pressure Ulcers In Icu Patients Essay

877 words - 4 pages pressure ulcers in the ICU on poor nutrition and the many machines and monitoring devices that are attached to patients which restricts patient movement. Pressure ulcer development in patients admitted to the ICU may be classified under the Quality and Safety Education for Nurses (QSEN) topic of safety. By definition, safety reduces the risk of harm to patients and providers thorough system effectiveness and individual performance (Cronenwett

Policy And Politics Essay

2162 words - 9 pages guidelines under safety indicators, suggest pressure ulcer risk assessment daily and on admission to a nursing facility ("AHRQ Toolkit," 2010, p. 4). This guideline would be added to the current Nursing Facilities Policy and evaluated for success with a variety of measures. The Quality Improvement nurse collects quarterly data regarding facility acquired pressure ulcers which could be used to evaluate policy success. Another means of evaluation

The Nurses Role In Relation To Risk Assessment

4062 words - 16 pages optimise nutrition and hydration. According to the “Best Practice Statement”, by the NHS for prevention and management of pressure ulcers, which has three key functions, it provides direction on efficient practice this includes setting principles, motivating, supporting and implementing improvement in quality, afterwards assessing the performance of the NHS and reporting on it. As with all patients, everyone is different and may