AN OFF-THE-SHELF CATALOGUE OF QUALITY IMPROVEMENT INTERVENTIONS TO IMPLEMENT IN THE PREVENTION OF PRESSURE ULCERS FOR HOSPITAL SETTINGS

Author(s)

Padula WV1, Makic MBF2, Mishra MK3, Wald H4, Nair KV5, Campbell J4, Valuck R61University of Colorado Health Sciences Center, Denver, CO, USA, 2University of Colorado Hospital, Aurora, CO, USA, 3Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, 4University of Colorado, Aurora, CO, USA, 5University of Colorado, Denver, Aurora, CO, USA, 6University of Colorado School of Pharmacy, Aurora, CO, USA

OBJECTIVES: To develop an off-the-shelf catalogue of quality improvement (QI) interventions to implement for preventing hospital-acquire pressure ulcers (HAPUs).  In 2007, the Institute of Healthcare Improvement (IHI) released a 17-item best-practice framework of general QI interventions organized into four domains of hospital practice: Leadership; Staff; Information & Information Technology; and Performance & Improvement.  Since HAPU prevention has become a burgeoning international topic because of its monetary burden on health care, clinicians have investigated novel methods to bolster HAPU prevention guidelines.  QI interventions pose a promising resource for improved HAPU outcomes. METHODS: Starting with the IHI best-practice framework, fourteen leading experts in QI and HAPU prevention at academic tertiary care facilities were interviewed in-person to qualitatively augment the list of QI interventions to reflect HAPU-specific preventive QI interventions.  The respondents possessed backgrounds as physicians (6), wound care nurses (4), QI experts (2), and outcomes researchers (2).  Interviews followed a structured outline of the best-practice framework, in which they were allowed to add, delete or modify QI interventions within each domain as they pertained to HAPU prevention. RESULTS:  The series of qualitative interviews resulted in successful augmentation to IHI’s best-practice framework of QI interventions to more accurately reflect current practice in HAPU prevention.  The HAPU-practice framework contains seven Leadership items, six Staff items, four Information & Information Technology items, and eight Performance & Improvement items.  Of these items, four were removed from the original framework, twelve were added, and all remaining items were modified in some manner. CONCLUSIONS: This qualitative study provides an off-the-shelf catalogue of QI interventions that wound care teams can utilize for preventing HAPUs and possibly other hospital-acquired conditions.  For further consideration, the field would benefit from comparative effectiveness research about QI interventions and strategies for HAPU prevention that hospitals can then focus their efforts toward.

Conference/Value in Health Info

2012-11, ISPOR Europe 2012, Berlin, Germany

Value in Health, Vol. 15, No. 7 (November 2012)

Code

PHS97

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Quality of Care Measurement

Disease

Infectious Disease (non-vaccine)

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