Cynthia Copeland, Joann Hager, Barbara Logue, Ann Petlin; Barnes-Jewish Hospital, Saint Louis, MO

Pressure ulcers are a risk in the vulnerable population of patients in the cardiothoracic intensive care unit (CT-ICU). They are a nurse-sensitive indicator that is reported to the National Database of Nursing Quality Indicators. In early 2011, a pressure ulcer prevalence exceeding 20% was a persistent problem in our CT-ICU despite concerted efforts to reduce it. Our team’s goal was to implement a multistrategy approach to reduce the prevalence of pressure ulcers to meet our target of 4% and to sustain the achievement.

Our CT-ICU pressure ulcer reduction team conferred with a performance improvement specialist, a certified wound/ostomy nurse, and consultants from the hospital’s Pressure Ulcer Preventable Harm Team. We searched the literature, including the resources of the National Pressure Ulcer Advisory Panel, to develop our structured performance improvement process....

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