Improving Patient Outcomes And Promote Higher Hospital Satisfaction

The INTACT trial showed a significant reduction in pressure ulcers (PU) incidence in the intervention group at the hospital (cluster) level, but this difference was not significant at the

Evidence suggests that pressure ulcers greatly increase mortality rates in both hospitals and nursing homes (Thomas, 2001). Patients who develop a pressure ulcer within six weeks of admission to an acute-care facility are three times more likely to die than patients who do not develop pressure ulcers (Thomas, 2001). Moreover, patients who develop a pressure ulcer within three months of admission to a long-term care facility are associated with a 92% mortality rate compared with a 4% mortality rate for patients who do not develop them (Thomas, 2001). This evidence alone shows how significant this problem is to the overall health status of patients. In my personal nursing experience, I have heard many complaints voiced from patients and their family members concerning the development of new pressure ulcers. Patients and family members have expressed dissatisfaction because of the increased stress and prolonged hospital stay often associated with the treatment of pressure ulcers.

The research article "What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors" was recently published (2012) in the Journal of Tissue Viability by Gorecki, Nixon, Madill, Firth, and Brown. This is a qualitative study.

The worse possible outcome of a pressure ulcer is death, with an approximation of 60,000 patients dying each year as a direct result of a pressure ulcer (Stotts & Gunningberg, 2007). This is significant to nursing practice because if we can prevent more pressure ulcers from occurring, we can dramatically improve patient outcomes, patient family and satisfaction, and even prevent the death of a loved one.

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

Pressure ulcers during a hospital admission are preventable. Assessment and early intervention can stop skin breakdown before it begins. Many factors regarding Mr. J’s condition placed him at a high risk regarding nursing indicators. Mild dementia, recent fall and a fractured hip all require a high level of nursing care and indicates preventative practice. Upon assessment, precautions should be in place to deter further complications. The elderly are more

To start the search for evidence within University Hospital, questions were asked in regards to pressure ulcers. Monthly updates are often sent out via email from the wound care team to keep everyone up to date on knowledge. While there was informative numbers within those updates, this information falls short according to Moore, Webster, & Samuriwo (2015). The main limitation of the study is the lack of a control group in pressure ulcer prevention and treatment. There is no clarity in the specific criterion that contributed to improved clinical outcomes. Teams used more than one method in the research project. Also, there is no study that meant the inclusion criteria in the random clinical trials. The lack of standardized

Keywords: The Joint Commission, Agency for Healthcare Research and Quality, Centers for Medicare and Medicaid Services, The American Nurses Association, Hospital Inpatient Quality Reporting,

Pressure ulcers are areas of localised damage to the skin and underlying tissue caused by pressure. (Stechmiller et al., 2008) Pressure ulcers still one of the most significant health problem in our hospitals today, It affects on patients quality of life patient self-image and how long they will stay in hospital then the cost of patient treatment . Moore (2005) estimate that it costs a quarter of a million euro’s per annum to manage pressure ulcers in hospital and community settings across Ireland .which allows one to take immediate actions and prevent the ulcer if possible. To support pressure ulcer risk assessment several standardized pressure ulcer risk assessment scales have been introduced

One of the primary issues the Healthgrades report identified was the impact and direct costs involved with patient complications and mortality. Healthgrades focuses on making the hospitals accountable and transparent into their clinical performance thereby providing care that is of higher quality, save lives and decrease costs (Healthgrades, 2013). Everyone who works in an acute care setting hears the term “increased length of stay” and according to Healthgrades complications account for 31% to 68% of the total variation in direct hospital costs. In fact, increased length of stay has the biggest impact on direct cost to the hospital

Within healthcare institutions evaluation of patient satisfaction serves two purposes. First, patient specific needs can be met, rectification can take place, and specifically designed solutions to resolve safety problems and concerns can be implemented. Second, comparisons can be made between institutions and focus is placed on system-wide issues in patient care. This requires an in-depth examination of patient complaints to pinpoint areas of systematic safety and quality, as well issues in standard of care (Reader, 2014).

All levels of quality patient care in the dialysis facilities of Fresenius Kidney Care is directed. The facility processes are in place to meet or exceed main quality goals such as mineral metabolism, vascular access, and anemia that is also required by the Medicare Conditions for Coverage of dialysis. Improve the facility performance reflect in the quality of care and selected outcomes that delivered through the dedication and hard work of the staff to further goal achievement.

Hospital Performance Improvement Priorities (Sepsis Bundle Compliance, Hospital-Acquired Infections, Pressure Ulcer Prevention, Patient Identification, Pain Management, etc.)

“Pressure ulcers are key clinical indicators of the standard and effectiveness of care (Elliott, Fox & McKinley, 2008).” L.M. was at high risk for pressure ulcers for multiple factors such as immobility, poor nutrition, age, and health. Therefore, I used the Braden Scale as a quality indicator in order to assess the risk of pressure ulcers and also to

As the Ontario Health Care System faces several challenges, it becomes necessary for organizations and providers to join together and meet the health care needs of the citizens. As the ministry of health and long term care have encountered several different concerns over the past decade. With rising issues such as low quality service and patient dissatisfaction, transparency in the health care system becomes questionable.