A Multisite Quality Improvement Project to Standardize the Assessment of Pressure Ulcer Healing in Veterans with Spinal Cord Injuries/Disorders

作者：Thomason Susan S^*; Powell Cope Gail; Peterson Matthew J; Guihan Marylou; Wallen Erik S; Olney Christine M; Bates Jensen Barbara

来源：Advances in Skin and Wound Care: The Journal for Wound Prevention and Healing , 2016, 29(6): 269-276.

DOI：10.1097/01.ASW.0000482283.85306.8f

• pressure ulcers
• veterans
• quality improvement
• wound healing
• assessment tool
• spinal cord impairment

OBJECTIVE: The objective was to implement the evidence-based Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) in 23 Spinal Cord Injury/Disorders Centers (SCI/D) in the Veterans Health Administration (VHA).
SETTING: A collaborative was held in Minnesota that was attended by key personnel from SCI/D Centers in the VHA.
METHODS: This initiative was based on a 3-year longitudinal study that established the validity and reliability of a novel pressure ulcer monitoring tool for persons with spinal cord impairment. A multifaceted evidence-based strategy was used to implement the Institute for Healthcare Improvement's framework of Plan-Do-Study-Act. The plan was executed by clinical champions who implemented the tool in their respective SCI/D Centers following a conference that used both didactic and practicum approaches.
OUTCOMES: A 15-item toolkit was developed to educate clinicians and patients regarding use of the SCI-PUMT. Toolkit elements were frequently accessed over the VA intranet (n = 3254). The 1.5-day national conference rolled out the new tool to the SCI/D Centers. Pre/post SCI-PUMT knowledge of the SCI-PUMT improved by 78% during the conference. Following the conference, periodic conference calls cemented the implementation efforts of the SCI-PUMT clinical champions and barriers were mitigated.

• 出版日期2016-6
• 单位西北大学