JAMDA
Volume 7, Issue 3 , Pages 141-146 , March 2006

Ability, Incentives, and Management Feedback: Organizational Change to Reduce Pressure Ulcers in a Nursing Home

  • Jules Rosen, MD

      Affiliations

    • Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Corresponding Author InformationAddress correspondence to Jules Rosen, MD, University of Pittsburgh, School of Medicine, WPIC, 3811 O’Hara Street, Pittsburgh, PA 15241
    • ,
  • Vikas Mittal, PhD

      Affiliations

    • Katz Graduate School of Business and Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Howard Degenholtz, PhD

      Affiliations

    • Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Nick Castle, PhD

      Affiliations

    • Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA
    • ,
  • Benoit H. Mulsant, MD

      Affiliations

    • Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • Geriatric Research, Education, and Clinical Center, VA Pittsburgh Health Care System, Pittsburgh, PA
    • ,
  • Shelley Hulland, MBA

      Affiliations

    • Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • David Nace, MD

      Affiliations

    • Department of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA
    • ,
  • Fred Rubin, MD

      Affiliations

    • Department of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA

References 

  1. Cuddigan J , Ayello EA , Sussman C , Baranoski S . Pressure Ulcers in America (Prevalence, Incidence, and Implications for the Future) . Reston, VA: National Pressure Ulcer Advisory Panel; 2001;
  2. Horn SD , Bender SA , Ferguson ML , et al.   The National Pressure Ulcer Long-Term Care Study (pressure ulcer development in long-term care residents) . J Am Geriatr Soc . 2004;52:359–367
  3. Clinical Practice Guideline. Pressure Ulcers in Adults: Prediction and Prevention . Rockville, MD: Agency for Healthcare Research and Quality, US Dept. of Health and Human Services; 2005; AHCPR publication no. 92-0047
  4. Lyder CH , Shannon R , Empleo-Frazier O , McGeHee D , White C . A comprehensive program to prevent pressure ulcers in long-term care (Exploring costs and outcomes) . Ostomy Wound Manage . 2002;48:52–62
  5. Xakellis GC , Frantz RA . The cost-effectiveness of interventions for preventing pressure ulcers . J Am Board Fam Pract . 1996;9:79–85
  6. Regan MB , Byers PH , Mayrovitz HN . Efficacy of a comprehensive pressure ulcer prevention program in an extended care facility . Adv Wound Care . 1995;8:49; 51–49,55
  7. Berlowitz DR , Young GJ , Hickey EC , et al.   Quality improvement implementation in the nursing home . Health Serv Res . 2003;38(1 Pt 1):65–83
  8. Rantz MJ , Popejoy L , Petroski GF , et al.   Randomized clinical trial of a quality improvement intervention in nursing homes . Gerontologist . 2001;41:525–538
  9. Saliba D , Rubenstein LV , Simon B , et al.   Adherence to pressure ulcer prevention guidelines (Implications for nursing home quality) . J Am Geriatr Soc . 2003;51:56–62
  10. Wipke-Tevis DD , Williams DA , Rantz MJ , et al.   Nursing home quality and pressure ulcer prevention and management practices . J Am Geriatr Soc . 2004;52:583–588
  11. Baier RR , Gifford DR , Lyder CH , et al.   Quality improvement for pressure ulcer care in the nursing home setting (The Northeast Pressure Ulcer Project) . J Am Med Dir Assoc . 2003;4:291–301
  12. Rosen J , Mittal V , Degenholtz HB , et al.   Organizational change and quality improvement in nursing homes (approaching success) . J Healthc Qual . 2005;27:4–12
  13. OIG Report. Quality Assurance Committees in Nursing Homes . Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2003; OEI-01-01-01-00090
  14. Medicare. Nursing Home Compare. Available at: http://www.medi-care.gov/NHCompare/Static/Related/ImportantInformation.osp?dest. Accessed January 22, 2004.
  15. Rosen J , Mulsant BH , Kollar M , Kastango K , Mazumdar S , Fox D . Nursing home staff education using computer-based interactive video and lecture format (A randomized comparison of compliance and satisfaction with training over 6 months) . J Am Med Dir Assoc . 2002;3:291–296
  16. Braden BJ , Bergstrom N . Predictive validity of the Braden Scale for pressure sore risk in a nursing home population . Res Nurs Health . 1994;17:459–470
  17. Powers GC , Zentner T , Nelson F , Bergstrom N . Validation of the mobility subscale of the Braden Scale for predicting pressure sore risk . Nurs Res . 2004;53:340–346
  18. Bergstrom N , Braden BJ . Predictive validity of the Braden Scale among black and white subjects . Nurs Res . 2002;51:398–403
  19. Blumel JE , Tirado K , Schiele C , Schonffeldt G , Sarra S . Prediction of the pressure ulcer development in elderly women using the Braden scale . Rev Med Chil . 2004;132:595–600 Spanish
  20. Validating the Braden Scale for the prediction of pressure ulcer risk in blacks and Latino/Hispanic elders (A pilot study) . Ostomy Wound Manage . 1998;44(3A Suppl):42S–49S
  21. The National Pressure Ulcer Advisory Panel . Pressure ulcers prevalence, cost and risk assessment (Consensus development conference statement) . Decubitus . 1989;2:24–28
  22. Langley R . Practical Statistics Simply Explained . New York: Dover; 1968;
  23. OIG Report. Nurse Aide Training . Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2002; OEI-05-01-00030
  24. Brooks PA , Renvall MJ , Bulow KB , Ramsdell JW . A comparison between lecture and videotape inservice for certified nursing assistants in skilled nursing facilities . J Am Med Dir Assoc . 2000;1:191–196
  25. Banazak DA , Mickus M , Averill M , Colenda CC . Herding cats (Barriers to implementing a nurse aide educational program) . Ann Long term Care . 2000;8:68–71
  26. Xakellis GC , Frantz R . The cost of healing pressure ulcers across multiple health care settings . Adv Wound Care . 1996;9:18–22

 Supported by AHRQ grant HS11976 and in part by USPHS grants MH52247 and MH01613 from the National Institutes of Health.

PII: S1525-8610(05)00529-3

doi: 10.1016/j.jamda.2005.08.003

JAMDA
Volume 7, Issue 3 , Pages 141-146 , March 2006

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