Pressure Ulcers – Final 2012
Category
Core
Title
Source
Description
“How-to Guide: Prevent Pressure
Ulcers” (Institute for Healthcare
Improvement [IHI])
http://www.ihi.org/knowledge/Pages/Tools/Ho
wtoGuidePreventPressureUlcers.aspx
“Preventing Pressure Ulcers in
Hospitals: A Toolkit for Improving
Quality of Care” (AHRQ)
http://www.ahrq.gov/research/ltc/pressureulcer
toolkit/
“National Guideline Clearinghouse:
‘Risk Assessment’ and ‘Prevention of
Pressure Ulcers’” (AHRQ)
http://ngc.gov/search/search.aspx?term=risk+as
sessment+and+prevention+of+pressure+ulcers
“On-Time Pressure Ulcer Healing
Project” (AHRQ)
http://www.ahrq.gov/research/pressureulcerhe
aling/
“Pressure Ulcer Prevention” (IHI)
http://www.ihi.org/offerings/MembershipsNetw
orks/MentorHospitalRegistry/Pages/PressureUlc
erPrevention.aspx
“Pressure Ulcers” (PatientCareLink)
http://www.patientcarelink.org/improvingpatient-care/pressure-ulcers.aspx
“Resources” (National Pressure Ulcer
Advisory Panel)
http://www.npuap.org/resources.htm
Core
Core
Core
Core
Core
Core
1
How-to guide describes key evidence-based care components for
preventing pressure ulcers, describes how to implement the
interventions, and recommends measures to gauge
improvement.
A toolkit designed to assist hospital staff in implementing
effective pressure ulcer prevention practices through an
interdisciplinary approach to care, and created with the
assistance of quality improvement teams at six medical centers:
Billings Clinic, Boston Medical Center, Denver Health Medical
Center, Montefiore Medical Center, VA Connecticut Healthcare
System (West Haven Campus), and VA North Texas Healthcare
System (Dallas Campus).
Search result listing of 92 clinical and best practice guidelines that
deal with ‘risk assessment’ and ‘prevention of pressure ulcers.’
The project is intended to improve nursing home care. The focus
is on prevention and timely treatment during routine care. The
program has been expanded to include new tools to document
pressure ulcer healing and treatments and reports to help
monitor the healing process.
Quick reference table to find a mentor hospital for pressure ulcer
prevention with demographics similar to the searcher’s. The
organizations on the IHI Mentor Registry have volunteered to
provide support, advice, clinical expertise, and tips to hospitals
seeking help with their implementation efforts.
PatientCareLink is a joint effort of the Massachusetts Hospital
Association and the Organization of Nurse Leaders to develop
programs/initiatives in pressure ulcer prevention that focus on
initial risk assessment, and then reassessments of patients,
followed by a multi-pronged approach to preventing pressure
ulcers in high risk patients. The program/initiatives include the
involvement of wound and skin specialists to provide patient
consultation and staff education.
Pressure ulcer category/staging illustrations, free resources,
international pressure ulcer guideline, PUSH tool, quick reference
guides for prevention and treatment.
Category
Title
http://www.premierinc.com/quality/toolsservices/safety/topics/pressure-ulcer/pressureulcer-downloads/WoundCareGuide-082008.pdf
“How-to Guide: Prevent Pressure
Ulcers — Pediatric Supplement” (IHI)
http://www.ihi.org/knowledge/Pages/Tools/Ho
wtoGuidePreventPressureUlcersPediatricSupple
ment.aspx
“SAFE SKIN Call to Action” (Minnesota
Hospital Association)
http://www.mnhospitals.org/index/toolsapp/tool.353
NDNQI National Database of Nursing
Quality Indicators Training Modules
for Pressure Ulcers.
https://www.nursingquality.org/NDNQIPres
sureUlcerTraining/
“Innovations Exchange: Pressure
Ulcers” (AHRQ)
http://www.innovations.ahrq.gov/innovations_q
ualitytools.aspx?search=pressure+ulcers
A comprehensive collection of 34 innovations and quality tools for
preventing and treating pressure ulcers.
“National Guideline Clearinghouse:
Pressure ulcer prevention and
treatment. Health care protocol.”
(U.S. Department of Health & Human
Resources, Agency for Healthcare
Research and Quality [AHRQ])
“National Guideline Clearinghouse:
Prevention of Pressure Ulcers”
(AHRQ)
http://www.guideline.gov/content.aspx?id=1600
4
A comprehensive update of a previous guideline by the Institute
for Clinical Systems Improvement, designed to assist clinicians by
providing an analytical framework for the evaluation and
treatment of patients.
http://www.guideline.gov/syntheses/synthesis.a
spx?id=25078
“Pressure Ulcers: A Patient Safety
Issue” Patient Safety and Quality: An
Evidence-Based Handbook for Nurses
(2008), Chapter 12 (AHRQ)
http://www.ahrq.gov/qual/nurseshdbk/docs/Lyd
erC_PUPSI.pdf
A direct comparison of recommendations for the prevention of
pressure ulcers presented in two guidelines: “Preventing pressure
ulcers and skin tears” by the Hartford Institute for Geriatric
Nursing, and “Guideline for prevention and management of
pressure ulcers” by the Wound, Ostomy, and Continence Nurses
Society.
Evidence-based handbook for nurses.
Core - Pedi
Enhanced
HPH
Supporting
Supporting
Supporting
Description
“Wound Care Quick Reference Guide”
(Shawnee Mission Medical Center)
Core
Enhanced
Source
2
A graphic one-page reference guide (August 2008) is provided,
courtesy of the Shawnee Mission Medical Center, with
photographs, objectives, treatments, and next step
recommendations. This reference guide is consistent with the
National Pressure Ulcer Advisory Panel (NPUAP) Scale.
How-to guide specifically tailored for pediatrics describes key
evidence-based care components for preventing pressure ulcers,
describes how to implement these interventions, and
recommends measures to gauge improvement.
The Minnesota Hospital Association is conducting a “SAFE SKIN”
initiative aimed at preventing serious pressure ulcers in hospital
patients. It includes resources of best clinical practices and a
special tool kit of information.
Four training modules for pressure ulcer training for nursing staff.
Category
Title
Source
Description
“WOCN® Public Library” (Wound
Ostomy and Continence Nurses
Society)
http://www.wocn.org/?page=library
New Opportunities to Improve
Pressure Ulcer Prevention and
Treatment: Implications of the CMS
Inpatient Hospital Care Present on
Admission (POA) Indicators/HospitalAcquired Conditions (HAC) Policy
(International Expert Wound Care
Advisory Panel)
http://www.patientcarelink.org/uploadDocs/1/p
u_doc4.pdf
Supporting
Supporting
Information contained in the WOCN® Society’s Library has been
developed and researched by leaders in the field of WOC care and
often undergo an extensive content validation process to secure
best practice standards.
Accessible in the Public Library:
 The Journal of Wound, Ostomy and Continence Nursing
 Position Statements
 Fact Sheets
 White Papers
Consensus Paper from the International Expert Wound Care
Advisory Panel. An examination of how the October 2008 changes
in Medicare payment practice provided a compelling reason to
review pressure ulcer prevention strategies.
Supporting
Section 2: Case Studies
“Stepping it up: Reducing Pressure
Ulcers” (Hospitals in Pursuit of
Excellence [HPOE])
“Save Our Skin: Preventing Pressure
Ulcers” (HPOE)
“Decreasing Pressure Ulcers Through
Skin Care” (HPOE)
http://www.hpoe.org/case-studies/7321306870
Case study: Buena Vista Regional Medical Center, Storm Lake, IA.
Supporting
“Reducing Pressure Ulcers” (HPOE)
“Champions Improve Staff Education
and Compliance with Pressure Ulcer
Prevention Strategies” (IHI)
http://www.hpoe.org/case-studies/4585448931
http://www.ihi.org/knowledge/Pages/Improvem
entStories/ChampionsImproveStaffEducationCo
mpliancePressureUlcerPrevention.aspx
Case study: Bronson Methodist Hospital, Kalamazoo, MI.
Case study: Onslow Memorial Hospital, Jacksonville, NC.
Patients First: Pressure Ulcer
Prevalence Sharing Best Practices
Webinar (September 10, 2007)
(Massachusetts Hospital Association
[MHA])
http://www.patientcarelink.org/uploadDocs/1/P
UP-Best-Prac-Webinar-HRC-CooleyDickinson-910-07-PCL.pdf
Webinar. Features case studies from Hebrew Rehabilitation
Center (Roslindale, MA) and Cooley Dickinson Hospital
(Northampton, MA).
Supporting
Supporting
Supporting
Supporting
http://www.hpoe.org/case-studies/7601126828
Case study: Fairfield Medical Center, Lancaster, OH.
http://www.hpoe.org/case-studies/8563442312
Case study: OSF St. Francis Medical Center, Peoria, IL.
3
Supporting
Patients First: Pressure Ulcer
Prevalence Sharing Best Practices
Webinar (September 13, 2007) (MHA)
http://www.patientcarelink.org/uploadDocs/1/P
UP-Best-Prac-Webinar-Winchester-BaystateMC9-13-07-PCL.pdf
4
Webinar. Features case studies from Winchester Hospital
(Winchester, MA) and Baystate Medical Center (Springfield, MA).