![]() education for staff about best practices for identifying and treating HAPU or at-risk patients.the “safety calendar,” a color-coded calendar that shows which days the unit has a pressure ulcer and.the “four eyes check,” which involves two nurses assessing and verifying the status of each patient’s skin on admission.visual indicators on the doors of at-risk patients and patients with pressure ulcers. ![]() As part of the program, the unit’s nurses used the Institute for Healthcare Improvements’ PDSA model to test four specific HAPU interventions: In 2010, the 4A MICU started participating in the Transforming Care at the Bedside (TCAB) program, which is built around nurse-driven quality improvement projects. The condition particularly plagues ICUs because severely ill patients have compromised tissue perfusion and limited physical mobility. Hospital-acquired pressure ulcers (HAPUs) are caused when a patient experiences prolonged periods of immobility, putting increased pressure on the skin, soft tissue, bone, and/or muscle. After implementing “plan, do, study, act” (PDSA) cycles to pilot improvement strategies, the team surpassed its goal and helped 676-bed LAC+USC achieve an impressive drop in its number of HAPUs. Recognizing the increased risk hospital-acquired pressure ulcers (HAPUs) pose for intensive care unit (ICU) patients, nurses in LAC+USC ’s 4A medical intensive care unit (MICU) in 2010 set an ambitious goal: to reduce HAPUs in their unit by 50 percent by the end of that year. ![]()
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