Key Drivers in Reducing Hospital-acquired Pressure Injury at a Quaternary Children's Hospital.
Journal
Pediatric quality & safety
ISSN: 2472-0054
Titre abrégé: Pediatr Qual Saf
Pays: United States
ID NLM: 101702480
Informations de publication
Date de publication:
Historique:
received:
19
11
2019
accepted:
20
03
2020
entrez:
20
5
2020
pubmed:
20
5
2020
medline:
20
5
2020
Statut:
epublish
Résumé
Despite being a participating Solutions for Patient Safety (SPS) children's hospital and having attempted implementation of the SPS hospital-acquired pressure injuries (HAPIs) prevention bundle, our hospital remained at a HAPI rate that was 3 times the mean for SPS participating children's hospitals. This performance led to the launch of an enterprise-wide HAPI reduction initiative in our organization. The purpose of this article is to describe the improvement initiative, the key drivers, and the resulting decrease in the SPS-reportable HAPI rate. We designed a hospital-wide HAPI reduction initiative with actions grouped into 3 key driver areas: standardization, data transparency, and accountability. We paused all individual hospital unit-based HAPI reduction initiatives. We calculated the rate of SPS-reportable HAPIs per 1,000 patient days during both the pre- and postimplementation phases and compared mean rates using a 2-sided The mean SPS-reportable HAPI rate for the preimplementation phase was 0.3489, and the postimplementation phase was 0.0609. The difference in rates was statistically significant ( Having an institutional pause and retooled initiative to reduce HAPI with key drivers in the areas of standardization, data transparency, and accountability had a statistically significant reduction in our organization's SPS-reportable HAPI rate.
Identifiants
pubmed: 32426646
doi: 10.1097/pq9.0000000000000289
pmc: PMC7190242
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e289Informations de copyright
Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.
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