Creation and implementation of a pressure ulcer prevention bundle improves patient outcomes

Background: Increased pressure ulcer prevalence and incidence rates led to the development of a pressure ulcer prevention program. Objectives: To decrease pressure ulcer rates below national levels by implementing strategies to improve patient outcomes. Methods: Patients admitted to the Stony Brook University Medical Center (SBUMC) are assessed for placement in the pressure ulcer prevention program. The central element of the program is an evidence-based Pressure Ulcer Prevention Bundle using the "Bundle" concept from the Institute for Healthcare Improvement. Results: The March 2006 Prevalence and Incidence Benchmarking Study demonstrates not only a decrease in institutional prevalence and incidence rates but also places SBUMC rates below last year's national benchmark rates. Conclusion: The implementation of a pressure ulcer prevention program has decreased prevalence and incidence rates at SBUMC and improved the quality of patient care.