Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun;12(2):e002248.
doi: 10.1136/bmjoq-2022-002248.

Sustainable pressure injury prevention

Charleen Singh  1   2   3 , Noordeen Shoqirat  4   5 , Lee Thorpe  6 , Stephanie Villaneuva  2
Affiliations

Sustainable pressure injury prevention

Charleen Singh et al. BMJ Open Qual. 2023 Jun.

Abstract

The quality department used adaptive leadership and the plan-do-study-act cycle to decrease pressure injury (PI) rates. After identifying gaps, the pressure injury prevention bundle was developed and implemented to bring evidence-based nursing practice to frontline nurses. Organisational rates of PI was followed for 4 years (2019-2022) and a smaller subset of 88 patients were followed in the prospective arm. Using statistical analysis, the decrease in PI rates (90%) and severity is significant (p<0.5) and sustained compared with the year prior to interventions.

Keywords: PDSA; continuous quality improvement; leadership; nurses; quality improvement.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

References

    1. Uhl-Bien M, Meyer D, Smith J. Complexity leadership in the nursing context. Nurs Adm Q 2020;44:109–16. 10.1097/NAQ.0000000000000407 - DOI - PubMed
    1. Al‐ghraiybah T, Sim J, Lago L. The relationship between the nursing practice environment and five nursing‐sensitive patient outcomes in acute care hospitals: a systematic review. Nurs Open 2021;8:2262–71. 10.1002/nop2.828 - DOI - PMC - PubMed
    1. The joint Commission . preventing pressure injuries. Oakbrook Terrace, IL: Quick Safety Issue 43, 2018.
    1. Singh C, Shoqirat N, Thorpe L. The cost of pressure injury prevention. Nurse Leader 2022;20:371–4. 10.1016/j.mnl.2021.11.003 - DOI
    1. Langemo D, Cuddigan J, Baharestani M, et al. . Pressure ulcer guidelines:" Minding the gaps" when developing new guidelines. Advances in skin & wound care 2008;21:213–7. - PubMed

Publication types