Preventing Pressure Ulcers in the Veterans Health Administration Using a Virtual Breakthrough Series Collaborative

J Nurs Care Qual. 2017 Oct/Dec;32(4):301-308. doi: 10.1097/NCQ.0000000000000242.

Abstract

The Veterans Health Administration implemented a Virtual Breakthrough Series to prevent pressure ulcers. The pressure ulcer rate decreased from 1.2 to 0.9 per 1000 bed days of care (P = .017). The most common interventions were education (N = 26; 68%), improved documentation (N = 23; 61%), and the use of equipment and supplies (N = 21; 55%). In summary, this project helped improve pressure ulcer rates in the Veterans Health Administration and presents a promising model for implementing a virtual model for improvement.

MeSH terms

  • Documentation / methods
  • Evidence-Based Nursing*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Pressure Ulcer / prevention & control*
  • Quality Improvement / organization & administration
  • United States
  • United States Department of Veterans Affairs / organization & administration*
  • Veterans Health*