Pressure Ulcer Risk Assessment and Prevention

Letters19 November 2013Pressure Ulcer Risk Assessment and PreventionWilliam V. Padula, PhD, MS, Heidi M. Wald, MD, MSPH, and Mary Beth F. Makic, PhD, RNWilliam V. Padula, PhD, MSFrom University of Chicago, Chicago, Illinois; and University of Colorado, Aurora, Colorado., Heidi M. Wald, MD, MSPHFrom University of Chicago, Chicago, Illinois; and University of Colorado, Aurora, Colorado., and Mary Beth F. Makic, PhD, RNFrom University of Chicago, Chicago, Illinois; and University of Colorado, Aurora, Colorado.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-159-10-201311190-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Chou and colleagues' (1) comparative effectiveness review of pressure ulcer prevention is important to U.S. hospitals with wound teams established for investigating implementation of a bundled evidence-based protocol for pressure ulcer prevention. Hospitals have been addressing pressure ulcer prevention since the Centers for Medicare & Medicaid Services enacted a nonpayment policy for hospital-acquired conditions in 2008 (2). The financial constraints of this policy directly affect clinicians who implement a pressure ulcer prevention protocol to protect patients from harm.Clinicians reference the 5-point evidence-based guideline developed by the National Pressure Ulcer Advisory Panel: risk assessment, skin care, nutrition, ...References1. Chou R, Dana T, Bougatsos C, Blazina I, Starmer AJ, Reitel K, et al. Pressure ulcer risk assessment and prevention: a systematic comparative effectiveness review. Ann Intern Med. 2013;159:28-38. [PMID: 23817702] LinkGoogle Scholar2. Kurtzman ET, Buerhaus PI. New Medicare payment rules: danger or opportunity for nursing? Am J Nurs. 2008;108:30-5. [PMID: 18535440] CrossrefMedlineGoogle Scholar3. National Pressure Ulcer Advisory Panel. Pressure Ulcer Prevention Points. 2007. Accessed at www.npuap.org/resources/educational-and-clinical-resources/pressure-ulcer-prevention-points/ on 27 September 2013. Google Scholar4. Nelson EC, Batalden PB, Huber TP, Johnson JK, Godfrey MM, Headrick LA, et al. Success characteristics of high-performing microsystems.. In: Nelson EC, Batalden PB, Godfrey MM, eds. Quality by Design. San Francisco: Jossey-Bass; 2007:3-33. Google Scholar5. Padula WV, Mishra MK, Makic MB, Sullivan PW. Improving the quality of pressure ulcer care with prevention: a cost-effectiveness analysis. Med Care. 2011;49:385-92. [PMID: 21368685] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Chicago, Chicago, Illinois; and University of Colorado, Aurora, Colorado.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPressure Ulcer Risk Assessment and Prevention Roger Chou , Tracy Dana , Christina Bougatsos , Ian Blazina , Amy J. Starmer , Katie Reitel , and David I. Buckley Pressure Ulcer Risk Assessment and Prevention Roger Chou Metrics Cited ByIndividualized cost-effectiveness analysis of patient-centered care: a case series of hospitalized patient preferences departing from practice-based guidelinesAre Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical Centers?Increased Adoption of Quality Improvement Interventions to Implement Evidence-Based Practices for Pressure Ulcer Prevention in U.S. Academic Medical CentersFactors Influencing Adoption of Hospital-Acquired Pressure Ulcer Prevention Programs in US Academic Medical Centers 19 November 2013Volume 159, Issue 10Page: 718KeywordsHealth care qualityHealth information technologyInformation technologyMedical servicesMedicareMotivationNutritionPressure ulcersQuality improvement ePublished: 19 November 2013 Issue Published: 19 November 2013 CopyrightCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...