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Non-CAH award recipient - The Nebraska Medical Center
Read more about The Nebraska Medical Center's quality improvement activities.
CAH award recipient - Boone County Health Center
Read more about Boone County Health Center's quality improvement activities.
Read about the other applicants
Non-CAH applicants
CAH
Overview
A Multidisciplinary Collaborative Approach to Reduce Hospital Acquired Pressure Ulcers
“#3 Process Management/Organizational Performance Results”
Alan Didier, RN, Manager, Burn & Wound Services
Chair, Skin & Wound Advisory Team
LDidier@NebraskaMed.com
402-552-3442 (Office)
402-552-2995 (Fax)
The quality improvement issue worked on.
The Agency for Health Care Research and Quality (AHRQ) recently reported a 63% increase in hospital-acquired pressure ulcers over an eleven-year period (Russo and Elixhauser, 2006). Over the past two years, an interdisciplinary team of clinicians and researchers at The Nebraska Medical Center has successfully addressed this issue with a continuous quality improvement initiative that has decreased the hospital’s acquired pressure ulcer rates from 9.6% to 2.3%. The team has also been successful in reducing ulcer severity and has virtually eliminated pressure ulcers caused by medical devices such as oxygen tubing.
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Overview
In the past decade there has been a fundamental shift in how surgical patients are viewed. Previously, the focus was strictly on the surgical procedure from the actual incision, intervention to the outcome. Now preparing a patient for surgery is not just viewed solely in the context of a surgical incision and outcome but rather the role of the surgical team from pre-admission through discharge. At the Boone County Health Center (BCHC) this shift did not go unnoticed. Led by a team composed of the Quality Improvement Coordinator, Director of Clinical Services and Surgical Nurse coordinator, the team began to refocus medical staff to view the surgical process as a continuum of care from what should occur before, during and after surgery. Redefining the surgical process at BCHC resulted in significant outcomes including an increase in patient safety and satisfaction; improved communication between patients and medical providers; 100-percent compliance to a benchmark in patient care and satisfaction among medical staff, administration and the Board of Trustees that our Health Center is meeting the goal of our mission statement to provide to our patients and communities the highest quality of care and services. Specifically, the quality issue we undertook was to apply a best practice to Achieve a Standard of Care in the Administration of Prophylactic Antibiotics to Surgical Patients 1-hour Prior to Surgery at the Boone County Health Center.
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Bryan LGH Medical
Center
Children's
Hospital
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Box
Butte General Hospital
Crete Area Medical
Center
Memorial
Health Care Systems - Seward
Nemaha
County Hospital
Phelps
Memorial Health Center
Oakland Memorial Hospital
2005 recipients
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