Ability, incentives, and management feedback: organizational change to reduce pressure ulcers in a nursing home

Journal of the American Medical Directors Association
Jules RosenFred Rubin

Abstract

Quality improvement (QI) processes in nursing homes are highly variable and often ineffective. This study evaluated an innovative QI process to reduce pressure ulcers (PUs) in a nursing home with a high rate of PUs. This was a 48-week, longitudinal study comparing the incidence of PUs during 12-week baseline and intervention and post-intervention periods. Not-for-profit, 136-bed nursing home in urban Western Pennsylvania. All residents and all staff at the nursing home participated in this study. The intervention consisted of 3 components: Ability enhancement, incentivization, and management feedback. To enhance ability, all staff members completed a computer-based interactive video education program on PU prevention and were mandated to use penlights to promote early detection. Incentivization included $75 for each staff member if the desired reduction in PU incidence was achieved. Management feedback provided real-time information of staff"s adherence to the mandated training. Outcome measures consisted of staff's adherence to mandated training and the incidence of new PUs during the baseline period compared to the intervention and post-intervention periods. Management responded to noncompliance with training with both reward...Continue Reading

References

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May 23, 2007·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Jules RosenFred Rubin

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Citations

Nov 5, 2008·The Gerontologist·Howard B DegenholtzDarren Liu
Jan 20, 2016·Journal of the American Geriatrics Society·Christine W HartmannDan R Berlowitz
Nov 21, 2013·Geriatric Nursing·Mary Ellen Dellefield, Jennifer L Magnabosco
Aug 6, 2011·Journal of the American Medical Directors Association·Marilyn J RantzJill Scott-Cawiezell
Jul 1, 2008·Research in Gerontological Nursing·Mary Ellen Dellefield
Jul 1, 2008·Research in Gerontological Nursing·Carol CompasElaine Townsley
Oct 6, 2010·Journal of Clinical Nursing·Louis PaquayHendrik Van Gansbeke
Mar 24, 2012·Advances in Skin & Wound Care·Andrea NiederhauserDan Berlowitz
Jul 21, 2012·Journal of Patient Safety·Sara SingerEric G Campbell
Jun 1, 2014·American Journal of Physical Medicine & Rehabilitation·Gerben DeJongTara Bouchard
Mar 4, 2015·Annals of Internal Medicine·Amir QaseemUNKNOWN Clinical Guidelines Committee of the American College of Physicians

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