Evidence map›Paper›PMID 30864302›Full record

ArticleInternational wound journal2019

Improving the quality of pressure ulcer management in a skilled nursing facility.

Yunghan Au, Mary Holbrook, Adam Skeens, Jessica Painter, James McBurney, Amy Cassata, Sheila C Wang

Abstract read
In one paragraph

Article in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yunghan AuDepartment of Medical Affairs, Swift Medical, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8976-0350
Mary HolbrookTeays Valley Center, Hurricane, West Virginia.
Adam SkeensTeays Valley Center, Hurricane, West Virginia.
Jessica PainterTeays Valley Center, Hurricane, West Virginia.
James McBurneyTeays Valley Center, Hurricane, West Virginia.
Amy CassataDepartment of Medical Affairs, Swift Medical, Toronto, Ontario, Canada.
Sheila C WangDepartment of Medicine, Division of Dermatology, McGill University Health Centre, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0001-8123-1713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pressure ulcers (PUs) are a serious health care problem for nursing home residents and a key quality metric for regulators. Three initiatives were introduced at a 128-bed facility to improve PU prevention. First, a Quality Assurance and Performance Improvement project and a Root Cause Analysis were conducted to improve the facility's wound care programme. Second, a digital wound care management solution was adopted to track wound management. Third, the role of skin integrity coordinator was created as a central point of accountability for wound care-related activities and related performance metrics. Improvements in PU prevention were tracked using Centers of Medicare and Medicaid data, specifically (a) the percentage of long-stay high-risk residents with PUs and (b) the percentage of short-stay residents with PUs that are new or have worsened. PU prevalence for long-stay high-risk residents was 12.99% (Q4 2016), and upon implementation of these initiatives, the facility saw continued reductions in PU prevalence to 2.9% (Q4 2017), while PUs for short-stay residents were maintained at zero throughout this period. This study highlights the power of effective management combined with real-time data analytics, as enabled by digital wound care management, to make significant improvements in health care delivery.

Indexed as

Practice Guidelines as TopicHumansNursing HomesPressure UlcerQuality of Health CareSkilled Nursing FacilitiesSkin CareWest Virginianursing homepressure injuriesquality improvementrisk managementsmartphone

Identifiers

PMID30864302
PMCPMC7949271

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.