2.50
Hdl Handle:
http://hdl.handle.net/10755/616130
Category:
Full-text
Type:
Poster
Title:
Using Technology to Improve Quality:'A HAPU Project
Author(s):
Kirkland-Walsh, Holly
Lead Author STTI Affiliation:
Non-member
Author Details:
Holly Kirkland-Walsh, RN, FNP, holly.kirkland-walsh@ucdmc.ucdavis.edu
Abstract:
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Using Technology for Quality Improvement - A Hospital Acquired Pressure Ulcer (HAPU) Project Purpose and/or Objectives: We have leveraged technology in the data collection for NDNQI and quality improvement projects surrounding pressure ulcer prevention, documentation, and education. The electronic medical record (EMR) has aided with data collection for the determination of the prevalence of hospital acquired pressure ulcers with the use of the EMR technology. Background and Significance: Pressure ulcer prevalence and incidence rates are highest in those receiving palliative/hospice care, spinal cord injuries, critical care and for long term care. It is important to distinguish pressure ulcers that are present on admission from those pressure ulcers that have been hospital acquired. HAPU are a measure of nursing quality and are reportable to multiple sources in comparing quality and safety. Early identification of individuals at risk and early interventions are essential for maintaining goals for prevention and management. Methods: We established a process in the EMR, to have a best practice act (BPA) added to the EMR admission process in order to identify patients who were admitted with pressure ulcers. Before the BPA was instituted as a mandatory field, the data collected from this field showed 5-pressure ulcers/week-- present on admission. Once the mandatory BPA was instituted the reported pressure ulcers present on admission was 35-50 pressure ulcers/week. We reviewed the choices for documentation in the EMR and defined the information to be collected from EMR.'The data collection points were set for computer extraction for every patient for the designated NDNQI data collection date. The set data collection points (documentation) were extracted: a) skin assessment, b) pressure ulcer risk assessment, c) risk assessment scale and scores, and d) all of the defined interventions that were documented according to set parameters. Measurement tools and research data collection was' used to involve staff in siloed areas. Staff were involved in data collection and deciding new interventions. All measured data outcomes were shared with staff using photos and graphs. Results/Outcomes: Early identification of patients with pressure ulcers present on admission Efficient data collection (work hours and associated RN pay) as compared to manual abstraction of the data Data abstracted was more reliable and accurate We had immediate access to the outcome data We were able to perform ?just-in-time? education to units to improve the documentation and quality of care. Conclusion: The measurement of the HAPU prevalence and incidence allows organizations to monitor patient outcomes for comparison over time and between institutions. Using the EMR for data collection (NDNQI, CalNOC surveys) enhances the reliability and accuracy of the measurement of the risk and the interventions associated with the prevention of pressure ulcers.
Keywords:
HAPU; Quality and Safety; measurements and methods
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST206; INRC16PST206
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleUsing Technology to Improve Quality:'A HAPU Projecten
dc.contributor.authorKirkland-Walsh, Hollyen
dc.contributor.departmentNon-memberen
dc.author.detailsHolly Kirkland-Walsh, RN, FNP, holly.kirkland-walsh@ucdmc.ucdavis.eduen
dc.identifier.urihttp://hdl.handle.net/10755/616130-
dc.description.abstractSession presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Using Technology for Quality Improvement - A Hospital Acquired Pressure Ulcer (HAPU) Project Purpose and/or Objectives: We have leveraged technology in the data collection for NDNQI and quality improvement projects surrounding pressure ulcer prevention, documentation, and education. The electronic medical record (EMR) has aided with data collection for the determination of the prevalence of hospital acquired pressure ulcers with the use of the EMR technology. Background and Significance: Pressure ulcer prevalence and incidence rates are highest in those receiving palliative/hospice care, spinal cord injuries, critical care and for long term care. It is important to distinguish pressure ulcers that are present on admission from those pressure ulcers that have been hospital acquired. HAPU are a measure of nursing quality and are reportable to multiple sources in comparing quality and safety. Early identification of individuals at risk and early interventions are essential for maintaining goals for prevention and management. Methods: We established a process in the EMR, to have a best practice act (BPA) added to the EMR admission process in order to identify patients who were admitted with pressure ulcers. Before the BPA was instituted as a mandatory field, the data collected from this field showed 5-pressure ulcers/week-- present on admission. Once the mandatory BPA was instituted the reported pressure ulcers present on admission was 35-50 pressure ulcers/week. We reviewed the choices for documentation in the EMR and defined the information to be collected from EMR.'The data collection points were set for computer extraction for every patient for the designated NDNQI data collection date. The set data collection points (documentation) were extracted: a) skin assessment, b) pressure ulcer risk assessment, c) risk assessment scale and scores, and d) all of the defined interventions that were documented according to set parameters. Measurement tools and research data collection was' used to involve staff in siloed areas. Staff were involved in data collection and deciding new interventions. All measured data outcomes were shared with staff using photos and graphs. Results/Outcomes: Early identification of patients with pressure ulcers present on admission Efficient data collection (work hours and associated RN pay) as compared to manual abstraction of the data Data abstracted was more reliable and accurate We had immediate access to the outcome data We were able to perform ?just-in-time? education to units to improve the documentation and quality of care. Conclusion: The measurement of the HAPU prevalence and incidence allows organizations to monitor patient outcomes for comparison over time and between institutions. Using the EMR for data collection (NDNQI, CalNOC surveys) enhances the reliability and accuracy of the measurement of the risk and the interventions associated with the prevention of pressure ulcers.en
dc.subjectHAPUen
dc.subjectQuality and Safetyen
dc.subjectmeasurements and methodsen
dc.date.available2016-07-13T11:05:08Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:05:08Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.