Running head: QUALITY IMPROVEMENT INITIATIVE PROPOSAL 0
Data Analysis and Quality Improvement Initiative Proposal
Celine Mwalawa
Capella University
Quality Improvement for Interprofessional Care
February,2019
0
,QUALITY IMPROVEMENT INITIATIVE PROPOSAL 1
Table of Contents
I. Introduction..................................................................................................................................1
II. Problems and Needs....................................................................................................................2
III. Analysis of Dashboard Metrics to Identify Quality Issues........................................................4
Risk Assessment and patient readmission...............................................................................4
Decrease the magnitude of pressure and shearing...................................................................7
Etiology and development of pressure ulcer..........................................................................10
Reduction in the duration of shearing and pressure...............................................................13
IV. Discussion and Conclusion......................................................................................................16
VI. Study Recommendations of the Proposed Initiative................................................................16
Reference...................................................................................................................................17
I. Introduction
Provision of quality healthcare and improving the quality of care, as well as quality of life
of the patients requires an interdisciplinary approach by all health care professionals. Pressure
ulcers or a hospital-acquired pressure injury continues to be great burden for healthcare providers
and patients in the U.S. Approximately 2.50 million US citizens develop pressure ulcers
, QUALITY IMPROVEMENT INITIATIVE PROPOSAL 2
annually, leading to about 50,000 deaths a year.1 Approximations from the Centers for Medicare
and Medicaid Services (CMS) shows that each hospital-acquired pressure injury or pressure ulcer
adds almost $42,000 in costs to a hospital stay, amounting to approximately more than $10.0
annually in the United States each year (Padula et al., 2015)..
Pressure ulcer, therefore, creates a health and cost burden to both hospitals and
individuals, resulting to need of developing a care plan or implanting a quality improvement
initiative to reduce the rates of pressure ulcer development. However, the creation, development
and implementation of the culture of care quality to decrease pressure ulcer development,
improve their quality of care and ensure patient safety, requires operational practices, high
quality prevention and quality care initiatives, as well as an organizational culture that promotes
communication, inter-professionalism, coordination and teamwork. Hence, quality improvement
and improvement in pressure ulcer prevention demands for a system that emphasizes on patient’s
health and provision of quality of health care (Rondinelli, et al., 2018).
II. Problems and Needs
Pressure ulcer refers to localized injury to the underlying tissues or skin during an inpatient
hospital stay. The consequence of hospital-acquired pressure injury, shear and pressure is usually
related to various factors such as presence of diabetes, severity of illness, hematological
measures, nutritional status, perfusion and immobility among patients (Coleman et al., 2013).
Most importantly, hospital-acquired pressure injuries or pressure ulcer can be associated with
infections, pain, prolonged hospital stay or even death (Lyder et al., 2012).
Data Analysis and Quality Improvement Initiative Proposal
Celine Mwalawa
Capella University
Quality Improvement for Interprofessional Care
February,2019
0
,QUALITY IMPROVEMENT INITIATIVE PROPOSAL 1
Table of Contents
I. Introduction..................................................................................................................................1
II. Problems and Needs....................................................................................................................2
III. Analysis of Dashboard Metrics to Identify Quality Issues........................................................4
Risk Assessment and patient readmission...............................................................................4
Decrease the magnitude of pressure and shearing...................................................................7
Etiology and development of pressure ulcer..........................................................................10
Reduction in the duration of shearing and pressure...............................................................13
IV. Discussion and Conclusion......................................................................................................16
VI. Study Recommendations of the Proposed Initiative................................................................16
Reference...................................................................................................................................17
I. Introduction
Provision of quality healthcare and improving the quality of care, as well as quality of life
of the patients requires an interdisciplinary approach by all health care professionals. Pressure
ulcers or a hospital-acquired pressure injury continues to be great burden for healthcare providers
and patients in the U.S. Approximately 2.50 million US citizens develop pressure ulcers
, QUALITY IMPROVEMENT INITIATIVE PROPOSAL 2
annually, leading to about 50,000 deaths a year.1 Approximations from the Centers for Medicare
and Medicaid Services (CMS) shows that each hospital-acquired pressure injury or pressure ulcer
adds almost $42,000 in costs to a hospital stay, amounting to approximately more than $10.0
annually in the United States each year (Padula et al., 2015)..
Pressure ulcer, therefore, creates a health and cost burden to both hospitals and
individuals, resulting to need of developing a care plan or implanting a quality improvement
initiative to reduce the rates of pressure ulcer development. However, the creation, development
and implementation of the culture of care quality to decrease pressure ulcer development,
improve their quality of care and ensure patient safety, requires operational practices, high
quality prevention and quality care initiatives, as well as an organizational culture that promotes
communication, inter-professionalism, coordination and teamwork. Hence, quality improvement
and improvement in pressure ulcer prevention demands for a system that emphasizes on patient’s
health and provision of quality of health care (Rondinelli, et al., 2018).
II. Problems and Needs
Pressure ulcer refers to localized injury to the underlying tissues or skin during an inpatient
hospital stay. The consequence of hospital-acquired pressure injury, shear and pressure is usually
related to various factors such as presence of diabetes, severity of illness, hematological
measures, nutritional status, perfusion and immobility among patients (Coleman et al., 2013).
Most importantly, hospital-acquired pressure injuries or pressure ulcer can be associated with
infections, pain, prolonged hospital stay or even death (Lyder et al., 2012).
