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Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network
BACKGROUND: Our objective was to describe changes in pressure injury (PI) rates in pediatric hospitals after implementation of an active surveillance and prevention bundle and to assess the impact of bundle elements. METHODS: The Children’s Hospitals Solutions for Patient Safety (SPS) Network is a l...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132915/ https://www.ncbi.nlm.nih.gov/pubmed/30229152 http://dx.doi.org/10.1097/pq9.0000000000000013 |
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author | Frank, Gary Walsh, Kathleen E. Wooton, Sharyl Bost, Jim Dong, Wei Keller, Leah Miller, Michelle Zieker, Karen Brilli, Richard J. |
author_facet | Frank, Gary Walsh, Kathleen E. Wooton, Sharyl Bost, Jim Dong, Wei Keller, Leah Miller, Michelle Zieker, Karen Brilli, Richard J. |
author_sort | Frank, Gary |
collection | PubMed |
description | BACKGROUND: Our objective was to describe changes in pressure injury (PI) rates in pediatric hospitals after implementation of an active surveillance and prevention bundle and to assess the impact of bundle elements. METHODS: The Children’s Hospitals Solutions for Patient Safety (SPS) Network is a learning collaborative working together to eliminate harm to hospitalized children. SPS used a 3-pronged approach to prevent pressure injuries: (1) active surveillance, (2) implementing and measuring compliance with the prevention bundle, and (3) deploying a wound ostomy team. Among hospitals participating since 2011 (phase 1), we used negative binomial analyses to assess change in PI rates. Only phase 1 hospitals had a baseline period before any prevention bundle intervention. Among all hospitals participating in 2013 (phases 1 and 2), we used funnel charts to assess the association between reliable bundle implementation and PI rates. RESULTS: Among the 33 hospitals that participated in SPS from 2011 to 2013 (phase 1), the rate of stage 3 pressure injuries declined from 0.06 to 0.03 per 1,000 patient-days (P < 0.001). Stage 4 pressure injuries declined from 0.01 to 0.004 per 1,000 patient-days (P = 0.02). Among all 78 hospitals in phases 1 and 2, the cohort that adopted each bundle element, measured compliance, and achieved 80% prevention bundle compliance had significantly lower PI rates compared with all hospitals. CONCLUSIONS: SPS hospitals saw a significant reduction in stage 3 and 4 PIs over a 2-year period. Reliable implementation of each element of a prevention bundle was associated with lower PI rates. |
format | Online Article Text |
id | pubmed-6132915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-61329152018-09-18 Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network Frank, Gary Walsh, Kathleen E. Wooton, Sharyl Bost, Jim Dong, Wei Keller, Leah Miller, Michelle Zieker, Karen Brilli, Richard J. Pediatr Qual Saf Multi-institutional Collaborative and QI Network Research BACKGROUND: Our objective was to describe changes in pressure injury (PI) rates in pediatric hospitals after implementation of an active surveillance and prevention bundle and to assess the impact of bundle elements. METHODS: The Children’s Hospitals Solutions for Patient Safety (SPS) Network is a learning collaborative working together to eliminate harm to hospitalized children. SPS used a 3-pronged approach to prevent pressure injuries: (1) active surveillance, (2) implementing and measuring compliance with the prevention bundle, and (3) deploying a wound ostomy team. Among hospitals participating since 2011 (phase 1), we used negative binomial analyses to assess change in PI rates. Only phase 1 hospitals had a baseline period before any prevention bundle intervention. Among all hospitals participating in 2013 (phases 1 and 2), we used funnel charts to assess the association between reliable bundle implementation and PI rates. RESULTS: Among the 33 hospitals that participated in SPS from 2011 to 2013 (phase 1), the rate of stage 3 pressure injuries declined from 0.06 to 0.03 per 1,000 patient-days (P < 0.001). Stage 4 pressure injuries declined from 0.01 to 0.004 per 1,000 patient-days (P = 0.02). Among all 78 hospitals in phases 1 and 2, the cohort that adopted each bundle element, measured compliance, and achieved 80% prevention bundle compliance had significantly lower PI rates compared with all hospitals. CONCLUSIONS: SPS hospitals saw a significant reduction in stage 3 and 4 PIs over a 2-year period. Reliable implementation of each element of a prevention bundle was associated with lower PI rates. Wolters Kluwer Health 2017-02-16 /pmc/articles/PMC6132915/ /pubmed/30229152 http://dx.doi.org/10.1097/pq9.0000000000000013 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Multi-institutional Collaborative and QI Network Research Frank, Gary Walsh, Kathleen E. Wooton, Sharyl Bost, Jim Dong, Wei Keller, Leah Miller, Michelle Zieker, Karen Brilli, Richard J. Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title | Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title_full | Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title_fullStr | Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title_full_unstemmed | Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title_short | Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network |
title_sort | impact of a pressure injury prevention bundle in the solutions for patient safety network |
topic | Multi-institutional Collaborative and QI Network Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132915/ https://www.ncbi.nlm.nih.gov/pubmed/30229152 http://dx.doi.org/10.1097/pq9.0000000000000013 |
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