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Driving Hospital-Acquired Pressure Injuries to Zero: A Quality Improvement Project
Alexis M Aningalan1, Brittany Ray Gannon
1At NewYork-Presbyterian Westchester, Bronxville, New York, USA, Alexis M. Aningalan, DNP, RN, CWON, WCC, is Manager of Wound and Ostomy Care; and Brittany (Ray) Gannon, PhD, MSN, AGPCNP-BC, is Nurse Scientist. Acknowledgments : The authors thank Reynaldo R. Rivera, DNP, RN, NEA-BC, FAAN; Laurie A. Walsh, DNP, RN; Peggy Quinn, MPH, BSN, RN, CPHQ, NEA-BC; Catherine Lombardi, MSN RN-C, NE-BC, NHDP-BC; and Danielle LeStrange, MSN, MBA, RN, ACNS-BC, NEA-BC, FACHE, for providing leadership support and oversight; and Stephanie Walker, BSN, RN, CWON, WCC; and Hazel Holder, DNP, RN, ACCNS-AG, CCRN, for sharing their time and expertise during the conduct of the project. The authors have disclosed no financial relationships related to this article. Submitted August 15, 2022; accepted in revised form December 1, 2022.
Objective:
To implement a collaborative, interdisciplinary team approach to reducing hospital-acquired pressure injuries (HAPIs) through nurse empowerment and engagement.
Methods:
This quality improvement project was conducted at a 288-bed community hospital. The Donabedian model was used to design this intervention. The authors used a collaborative, interdisciplinary team approach for pressure injury prevention and management, utilizing nurse empowerment and engagement as driving forces to reduce HAPI rates.
Results:
The incidence of HAPI decreased from a peak of 5.30% in April 2019 down to 0% from August 2019 to December 2020.
Conclusions:
Pressure injuries are key quality indicators for patient safety and avoidance of patient harm. Through nurse empowerment and engagement, HAPIs were avoided, resulting in improved quality care outcomes and maintenance of a safe patient environment.
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