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Blending Evidence-Based Practice and Lean Six Sigma Methodology to Reduce Hospital-Acquired Pressure Injuries in a
Ana-Maria Gallo1, Rochelle Anne Catahay Doyle, Jennifer Beckman
1School of Nursing, Azusa Pacific University, San Diego Regional Campus, California (Dr Gallo); Sharp Healthcare, Grossmont Hospital, La Mesa, California (Mss Doyle and Beckman); and UC San Diego Health, California (Ms Lizarraga).
Background:
Hospital-acquired pressure injuries (HAPIs) continue to challenge acute care facilities. Best practice to reduce HAPI includes assessment, documentation, positioning, and treatment.
Local Problem:
In spite of using evidence-based practices, the hospital's gastrointestinal/genitourinary progressive care unit had more HAPIs each month than the other units in the hospital.
Methods:
A combination of Lean Six Sigma and evidence-based practice was used to decrease HAPIs.
Interventions:
The T program (turn, touch, and tidy) was developed to address the areas of concern identified in the root cause analysis.
Results:
HAPIs were reduced from 22 in the previous 2 quarters to zero for 3 consecutive quarters with a cost avoidance to $379 767.
Conclusions:
The successful implementation of the T program was the result of blending Lean Six Sigma and evidence-based practice.
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