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Changing the system: a quality management approach to pressure injuries
Y D Dlugacz1, L Stier, A Greenwood
1North Shore Long Island Jewish Health System in Great Neck, NY, USA. ydlugacz@nshs.edu
Summary
A healthcare system implemented a quality management program to prevent and treat pressure injuries. This initiative successfully reduced injury rates, length of stay, and healthcare costs.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety
- Clinical Management
Background:
- Pressure injuries represent a significant challenge in healthcare systems.
- A continuum of care approach is essential for effective pressure injury management.
- Standardized quality management is crucial for patient outcomes.
Purpose of the Study:
- To describe a novel quality management (QM) methodology for pressure injury prevention and treatment.
- To evaluate the impact of this QM initiative across an integrated healthcare system.
- To demonstrate how QM programs can drive healthcare standardization and innovation.
Main Methods:
- Development and implementation of a comprehensive QM program for pressure injuries.
- Application of the methodology across acute care, long-term care, and home care settings.
- Utilizing data to track incidence, severity, length of stay, and costs.
Main Results:
- Significant decrease in the incidence and severity of pressure injuries.
- Reduction in patient length of stay within the healthcare system.
- Demonstrated substantial cost savings for the integrated healthcare system.
Conclusions:
- Innovative QM programs can effectively reduce pressure injuries.
- A standardized approach to care improves patient outcomes and system efficiency.
- This methodology offers a scalable model for healthcare quality improvement.