Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network

Pediatric Quality & Safety
Gary FrankRichard J Brilli

Abstract

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. 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. 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 ...Continue Reading

References

Jun 11, 2002·Advances in Skin & Wound Care·Kathleen M Baldwin
Jul 2, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Martha A Q CurleyMing Lin
Apr 27, 2005·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Shannon McCordLarry S Jefferson
Aug 24, 2006·JAMA : the Journal of the American Medical Association·Madhuri ReddyPaula A Rochon
Nov 15, 2006·Journal of Pediatric Nursing·Catherine NoonanMartha A Q Curley
Dec 29, 2006·The New England Journal of Medicine·Peter PronovostChristine Goeschel
Apr 7, 2007·Advances in Skin & Wound Care·Mona Mylene Baharestani, Catherine R Ratliff
Jan 5, 2011·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Christine A SchindlerVickie S Simpson
Mar 4, 2011·Medical Care·William V PadulaPatrick W Sullivan
Feb 22, 2012·Pediatrics·R Paul BoeschKathy Dressman
Apr 14, 2012·Current Opinion in Pediatrics·Kathryn Q Bernabe
May 8, 2013·Pediatrics·Marty VisscherSundeep Keswani
Jun 5, 2015·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Anne LyrenStephen Muething

❮ Previous
Next ❯

Citations

Mar 15, 2020·Hospital Pediatrics·Jay PershadEunice Huang
Jul 6, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Joyce M Black
Sep 25, 2020·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Judith J StellarMartha A Q Curley
Jun 25, 2019·Pediatric Investigation·Susan A Kourtis, Jeffrey P Burns
May 20, 2020·Pediatric Quality & Safety·Andrea K JohnsonLane F Donnelly
Jun 1, 2019·Current Treatment Options in Pediatrics·Michael TeraoMaitreya Coffey
Aug 23, 2019·Advances in Skin & Wound Care·Barbara DelmoreAnn Marie Nie
Jul 20, 2021·Learning Health Systems·Michael SeidPeter A Margolis
Jul 15, 2018·Pediatrics·David C StockwellUNKNOWN GAPPS Study Group

❮ Previous
Next ❯

Software Mentioned

Stata
menbreg

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
Charleen Deo SinghNoordeen Shoqirat
Journal of Pharmacy Practice
Jessica GillonM Cecilia Di Pentima
© 2022 Meta ULC. All rights reserved