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American Journal of Medical Quality
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Creation and Implementation of a Pressure Ulcer Prevention Bundle Improves Patient Outcomes

Perrilynn Baldelli, RN, MS, CCRN, ANP-C

Stony Brook University Medical Center Hospital, Stony Brook, New York

Mary Paciella, RN, MS, CCRN, ANP-C, CNS

Stony Brook University Medical Center Hospital, Stony Brook, New York, mpaciella{at}notes.cc.sunysb.edu

Background: Increased pressure ulcer prevalence and incidence rates led to the development of a pressure ulcer prevention program. Objectives: To decrease pressure ulcer rates below national levels by implementing strategies to improve patient outcomes. Methods: Patients admitted to the Stony Brook University Medical Center (SBUMC) are assessed for placement in the pressure ulcer prevention program. The central element of the program is an evidence-based Pressure Ulcer Prevention Bundle using the "Bundle" concept from the Institute for Healthcare Improvement. Results: The March 2006 Prevalence and Incidence Benchmarking Study demonstrates not only a decrease in institutional prevalence and incidence rates but also places SBUMC rates below last year's national benchmark rates. Conclusion: The implementation of a pressure ulcer prevention program has decreased prevalence and incidence rates at SBUMC and improved the quality of patient care. (Am J Med Qual 2008;23:136-142)

Key Words: pressure ulcers • bundle • prevalence • incidence

This version was published on April 1, 2008

American Journal of Medical Quality, Vol. 23, No. 2, 136-142 (2008)
DOI: 10.1177/1062860607313145
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