A Multisite Quality Improvement Project to Standardize the Assessment of Pressure Ulcer Healing in Veterans with Spinal Cord Injuries/Disorders

Susan S. Thomason, Gail Powell-Cope, Matthew J. Peterson, Marylou Guihan, Erik S. Wallen, Christine M. Olney, Barbara Bates-Jensen

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

OBJECTIVE: The objective was to implement the evidence-based Spinal Cord Impairment Pressure Ulcer Monitoring Tool (SCI-PUMT) in 23 Spinal Cord Injury/Disorders Centers (SCI/D) in the Veterans Health Administration (VHA). SETTING: A collaborative was held in Minnesota that was attended by key personnel from SCI/D Centers in the VHA. METHODS: This initiative was based on a 3-year longitudinal study that established the validity and reliability of a novel pressure ulcer monitoring tool for persons with spinal cord impairment. A multifaceted evidence-based strategy was used to implement the Institute for Healthcare Improvement's framework of Plan-Do-Study-Act. The plan was executed by clinical champions who implemented the tool in their respective SCI/D Centers following a conference that used both didactic and practicum approaches. OUTCOMES: A 15-item toolkit was developed to educate clinicians and patients regarding use of the SCI-PUMT. Toolkit elements were frequently accessed over the VA intranet (n = 3254). The 1.5-day national conference rolled out the new tool to the SCI/D Centers. Pre/post SCI-PUMT knowledge of the SCI-PUMT improved by 78% during the conference. Following the conference, periodic conference calls cemented the implementation efforts of the SCI-PUMT clinical champions and barriers were mitigated.

Original languageEnglish (US)
Pages (from-to)269-276
Number of pages8
JournalAdvances in Skin and Wound Care
Volume29
Issue number6
DOIs
StatePublished - Jun 1 2016

Keywords

  • assessment tool
  • pressure ulcers
  • quality improvement
  • spinal cord impairment
  • veterans
  • wound healing

ASJC Scopus subject areas

  • Dermatology
  • Advanced and Specialized Nursing

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