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IHI Protecting 5 Million Lives From Harm Campaign targets pressure ulcer prevention
The 5 Million Lives Campaign is an initiative to protect patients from five million incidents of medical harm over the next two years (December 2006 – December 2008).

IHI "Prevent Pressure Ulcers" How-to Guide1,2
3. Inspect Skin Daily
"Adapt documentation tools to prompt daily skin inspection, documentation of findings, and initiation of prevention strategies as needed."*
"Educate all levels of staff to inspect the skin any time they are assisting the patient, for example...while bathing. Upon recognition of any change in skin integrity, notify staff so that appropriate interventions can be put in place."*
* Processes that "can be put in place to ensure daily inspection of the skin."
Download “Prevent Pressure Ulcers” How-to Guide
Download “Prevent Pressure Ulcers” Annotated Bibliography
View campaign materials for pressure ulcer prevention (and all 12 campaign interventions)
View campaign highlights
 
Joint Commision National Patient Safety Goals – Critical Access Hospitals and Hospitals
View all goals
View goals for Hospitals
Download goals for Hospitals (.pdf*)

Goal 2 Improve the effectiveness of communication among caregivers.
2C Measure, assess and, if appropriate, take action to improve the timeliness of reporting, and the timeliness of receipt by the responsible licensed caregiver, of critical test results and values.
2E Implement a standardized approach to “hand off” communications, including an opportunity to ask and respond to questions.

Goal 7 Reduce the risk of health care-associated infections.
7A Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines.
7B Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-associated infection.

Goal 9 Reduce the risk of patient harm resulting from falls.
9B Implement a fall reduction program including an evaluation of the effectiveness of the program.
 
Joint Commision National Patient Safety Goals – Long Term Care
View all goals
View goals for Long Term Care
Download goals for Long Term Care (.pdf*)

Goal 2 Improve the effectiveness of communication among caregivers.
2E Implement a standardized approach to “hand off” communications, including an opportunity to ask and respond to questions.

Goal 7 Reduce the risk of health care-associated infections.
7A Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines.
7B Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a healthcare-associated infection.

Goal 9 Reduce the risk of resident harm resulting from falls.
9B Implement a fall reduction program including an evaluation of the effectiveness of the program.

Goal 10 Reduce the risk of influenza and pneumococcal disease in institutionalized older adults.
10C Develop and implement a protocol to identify new cases of influenza and to manage an outbreak.

Goal 14 Prevent health care-associated pressure ulcers (decubitus ulcers).
14A Assess and periodically reassess each resident's risk for developing a pressure ulcer (decubitus ulcer) and take action to address any identified risks.
 
Guidelines for environmental infection control in health-care facilities: recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)
Sehulster L, Chinn RYW
Centers for Disease Control and Prevention. MMWR 2003;52 (No. RR-10):5,14.
Download water recommendations excerpt (.pdf*)
View full text
 
CDC's 7 Healthcare Safety Challenges
Division of Healthcare Quality Promotion (DHQP)
Released Aug 23 2001.
View all challenges

In 5 Years, the CDC's Division of Healthcare Quality Promotion (DHQP) plans on accomplishing these seven challenges:

Challenge 1: Reduce catheter-associated adverse events by 50% among patients in healthcare settings

Challenge 2: Reduce targeted surgical adverse events by 50%

Challenge 4: Reduce targeted antimicrobial-resistant bacterial infections by 50% by:
  • preventing infections
  • diagnosing and treating infections appropriately
  • optimizing antimicrobial use, and
  • preventing transmission in healthcare settings
  •  
    Pressure ulcers in adults: prediction and prevention
    AHRQ (formerly AHCPR) Clinical Practice Guideline Number 3, AHCPR Pub. No. 92-0047: May 1992.
    View Clinical Practice Guidelines main page
    View clinical guide
    View quick reference guide
     
    Pressure ulcer prevention points
    The National Pressure Ulcer Advisory Panel (NPUAP), Reston, VA.
    Summary of the AHCPR Clinical Practice Guideline, Pressure Ulcers in Adults: Prediction and Prevention (AHCPR Publication No. 92-0047. Rockville, MD: May 1992).
    Download NPUAP Summary (.pdf*)
     
    What the experts say in incontinence care and pressure ulcer prevention guidelines
    Excerpts from AHRQ, NPUAP, WOCN Society and NIH Clinical Center.
    Download (.pdf*)
     

    * You will need Adobe Acrobat® to open each poster. If you do not have Adobe Acrobat® installed on your computer, you can download it for free by clicking here.

     
    References: 1. In addition to other interventions. 2. Getting started kit: prevent pressure ulcers, how-to guide. Protecting 5 Million Lives From Harm Campaign, Institute for Healthcare Improvement. 2006 Dec.
     
    This area of our website and its content is intended for healthcare professionals only.
     



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