Orchestrating Change Utilizing NDNQI Data for the Prevention of HAPU

Purpose:
To demonstrate how NDNQI participation can be the cornerstone for launching Hospital Acquired Pressure Ulcer initiatives and infusing evidence based protocols into the hospital culture.

Significance:
Pressure ulcer costs are significant not only in terms of human suffering and increased mortality rates but also financially. The prevention of HAPU is paramount in not only meeting recent government mandates but also enhancing safety and quality of care.

Strategy and Implementation:
Partnering with NDNQI enabled us to recognize nurse sensitive quality indicators as a means to transform patient care. NDNQI participation raised awareness and garnered buy-in from all stakeholders. An interdisciplinary team was formed to develop evidence based protocols, educate staff, and improve interdisciplinary communication. Baseline data from a pilot study helped us stratify and prioritize our goals to better meet patients' needs. To measure successes, serial chart reviews were done. Additional gaps were identified and addressed by optimizing nutrition,introducing products for moisture management, relocating supplies closer to the bedside, and streamlining documentation. NDNQI prevalence study teams not only served to collect data but also disseminated knowledge that heightened HAPU awareness. Continual feedback of data, newsletters and a PUP logo kept staff engaged. By synthesizing education and data, the perfect chords for quality care were struck.

Evaluation:
NDNQI data were used throughout the process to orchestrate change resulting in a downward trend in the development of hospital acquired pressure ulcers and improved customer satisfaction. The beat resonates throughout the organization.

Implications for Practice:
NDNQI data are the instruments required to orchestrate changes that reduce hospital acquired pressure ulcers. Interdisciplinary teams can work in harmony to achieve desired outcomes.