The Gerontologist, Vol 34, Issue 3 413-417, Copyright © 1994 by The Gerontological Society of America
A quality-oriented approach to pressure ulcer management in a nursing facility
JM Levine and E Totolos
Jewish Home and Hospital for Aged, Bronx, NY 10468.
The Jewish Home and Hospital for Aged, Bronx Division, is an 816-bed
nursing facility that has developed a strategy for pressure ulcer
management which relies on documentation, data flow, and feedback. Our
system incorporates principles of Quality Improvement, and has resulted in
a remarkably low nosocomial ulcer prevalence rate of 3.1%. We discuss
Quality Improvement in the nursing facility and examine the value of
pressure ulcer prevalence as a quality indicator. We present details of our
system, highlighting the flow of information which comprises the Quality
Improvement infrastructure, and include a discussion of benefits and costs
of our system.