A Performance Improvement Project to Increase Nursing Compliance with Skin Assessments in a Rehabilitation Unit

作者：Revello Kathleen^*; Fields Willa

来源：Rehabilitation Nursing, 2012, 37(1): 37-42.

DOI：10.1002/RNJ.00006

• HAPU
• performance improvement
• skin assessment
• skin rounds

Purpose: The aim of this quality improvement project was to increase nursing compliance with skin assessments and ultimately decrease Hospital Acquired Pressure Ulcers (HAPUs) in an acute rehabilitation center. %26lt;br%26gt;Methods: Interventions in this quality improvement initiative consisted of education, twice-weekly skin rounds, nursing assistant participation, and sharing of pressure ulcer data. %26lt;br%26gt;Results: The educational sessions were attended by 80% of the nurses and 95% of the nursing assistants. The remaining nurses and nursing assistants were educated in one-to-one sessions, for a total of 100% of the staff. After the education, skin assessments documentation was completed 100% of the time. The March 2010 CalNOC results demonstrated no patients with HAPUs (Figure 2), which demonstrates a zero incidence of HAPUs since December of 2008. %26lt;br%26gt;Conclusions: The education, skin rounds, nursing assistant participation, and sharing of data were instrumental in improving the frequency of skin assessments and the reduction of HAPUs in the rehabilitation unit.

• 出版日期2012-2