BOULDER COMMUNITY HOSPITAL

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BOULDER COMMUNITY HOSPITAL

• BCH Patient Safety Initiative (PSI) Pressure
  Ulcers
• PDSA cycle focused on one IP Unit, Cancer Care
• Low prevalence of Pressure Ulcers wanted to
  establish the new process prior to rolling out
  house wide
• Team members work on CCC Unit
• BCH participating in The Joint Commissions
  Nursing Sensitive Care Pilot Study
• Using Prevalence Study rate as an overall
  measurement of reducing HA Pressure Ulcers

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BOULDER COMMUNITY HOSPITAL

• Two AIM Statements
• PSI By December 31, 2008, the RN staff at
  Boulder Community Hospital will reduce all
  hospital acquired pressure ulcers to 0.
• PDSA Test 1 By March 30, 2008, all RN's on the
  Cancer Care Center IP Unit at Boulder Community
  Hospital will ensure that 100 of all eligible
  patients with a Braden Score of 12 or less will
  receive an Special Air Mattress within 6 hours
  after initial skin assessment.

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BOULDER COMMUNITY HOSPITAL

• Challenges
• Data collection
• Implementing Change
• Next PDSA Test
• Physician Notification (reminder)
• Documentation
• Implement appropriate preventative measures, if
  not already in place

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BCH PATIENT SAFETY INITIATIVE
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BCH PDSA CYCLE WORKSHEETS
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BCH PDSA CYCLE WORKSHEETS
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BCH PDSA CYCLE WORKSHEETS
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BCH PDSA CYCLE WORKSHEETS