Blending Evidence-Based Practice and Lean Six Sigma Methodology to Reduce Hospital-Acquired Pressure Injuries in a Progressive Care Unit.
J Nurs Care Qual
; 35(4): 295-300, 2020.
Article
em En
| MEDLINE
| ID: mdl-31834201
ABSTRACT
BACKGROUND:
Hospital-acquired pressure injuries (HAPIs) continue to challenge acute care facilities. Best practice to reduce HAPI includes assessment, documentation, positioning, and treatment. LOCALPROBLEM:
In spite of using evidence-based practices, the hospital's gastrointestinal/genitourinary progressive care unit had more HAPIs each month than the other units in the hospital.METHODS:
A combination of Lean Six Sigma and evidence-based practice was used to decrease HAPIs.INTERVENTIONS:
The T program (turn, touch, and tidy) was developed to address the areas of concern identified in the root cause analysis.RESULTS:
HAPIs were reduced from 22 in the previous 2 quarters to zero for 3 consecutive quarters with a cost avoidance to $379 767.CONCLUSIONS:
The successful implementation of the T program was the result of blending Lean Six Sigma and evidence-based practice.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Gestão da Qualidade Total
/
Cuidados Críticos
/
Úlcera por Pressão
/
Prática Clínica Baseada em Evidências
/
Doença Iatrogênica
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article