Changing the System: A Quality Management Approach to Pressure Injuries

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Abstract
The quality management (QM) department at a large integrated healthcare system developed a methodology for preventing, predicting, and treating pressure injuries across the continuum, from acute care to long-term care to home care. The initiative, the first recipient of the Ernest A. Codman Award of the Joint Commission on Accreditation of Healthcare Organizations in the network category, resulted in decreased incidence and severity of pressure injuries, reduced length of stay, and significant cost savings to the system. The process the department used illustrates how an innovative QM program can facilitate change and institute a uniform standard of care.