Quality Improvement Intervention Bundle Using the PUPPIES Acronym Reduces Pressure Injury Incidence in Critically Ill...

Jillian M McLaughlin¹, Jacquelynn P Tran, Samee A Hameed+7

• ¹Jillian M. McLaughlin, MD, is Attending Physician, Seton Plastic & Hand Surgery, Austin, Texas, United States. At the University of Texas Medical Branch, Galveston, Texas, Jacquelynn P. Tran, MD, is Resident, Plastic Surgery, Department of Surgery; Samee A. Hameed, BS, is Medical Student; and Dell E. Roach, MSN, RN, CNML, is Surgical Intensive Care Unit Nurse Manager, Department of Anesthesiology. Clark R. Andersen, MS, is Statistician, MD Anderson Cancer Center, Houston, Texas. At the University of Texas Medical Branch, Victor Z. Zhu, MD, is Resident, Plastic Surgery, Department of Surgery; Blake B. Sparks, MD, is Resident, Plastic Surgery, Department of Surgery; Linda G. Phillips, MD, FACS, is Chair, Plastic Surgery, Department of Surgery, Aristides P. Koutrouvelis, MD, is Surgical Intensive Care Unit Director, Department of Anesthesiology; and Douglas S. Tyler, MD, FACS, is Chair, Department of Surgery. Acknowledgments: The authors thank Nicholas Lombana, MD, for assistance in translating the Spanish version of the educational patient pamphlet; Steve Schuenke, graphic artist/photographer, for assistance in formatting and printing visual tools, educational pamphlets, and the pressure injury prevention manual for quality improvement intervention bundle; and Mary A. Hill, CWOCN, University of Texas Medical Branch Wound, Ostomy, and Continence Nurse for providing information on the pressure injury prevention products available. This study was supported with institutional grant funding from the University of Texas Medical Branch 2016 President's Cabinet Award, "Impacting Community Health through Pressure Ulcer Prevention," awarded to Dr McLaughlin and Mrs Roach. The authors have disclosed no other financial relationships related to this article. Submitted February 8, 2021; accepted in revised form March 18, 2021.