Pressure Ulcer Prevention
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Standardized Quality Assessment System to Evaluate Pressure Ulcer Care in the Nursing Home
Barbara M. Bates-Jensen, Mary Cadogan, Jennifer Jorge, John F. Schnelle, 2003, in J Am Geriatrics Society, 51(9):1194-1202.
- Pressure ulcers (PUs) are an important quality measure in nursing homes because they are common, often preventable, and associated with morbidity, mortality, and other quality of care problems.
This paper describes nine quality indicators that reflect PU care processes determined by expert consensus to be related to positive outcomes (i.e., are valid) and feasible to implement in NHs. The quality indicators have been operationalized into a standardized system that incorporates explicit measurement protocols and scoring rules. Indicator scores based on direct observation and medical record data for 191 residents in eight nursing homes are presented to illustrate how conclusions can be drawn about the quality of PU care using the indicators and standardized scoring system.
The focus of the indicators on care processes that are under the control of nursing home staff makes the protocol useful for both external survey and internal quality improvement purposes.
Click here to view the PU care quality indicators.
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