Evidence map›Paper›PMID 32469916›Full record

ArticlePloS one2020

Effects of a pressure-ulcer audit and feedback regional programme at 1 and 2 years in nursing homes: A prospective longitudinal study.

Lorenzo Righi, Aimad Ourahmoune, Nadine Béné, Anne-Claire Rae, Delphine S Courvoisier, Pierre Chopard

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Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
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4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lorenzo RighiQuality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.ORCID 0000-0001-9915-1332
Aimad OurahmouneQuality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.
Nadine BénéGeneva Nursing Homes Association, Geneva, Switzerland.
Anne-Claire RaeHealth Care Research and Quality, University Hospitals of Geneva, Geneva, Switzerland.
Delphine S CourvoisierQuality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.
Pierre ChopardQuality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPressure ulcer is a frequent complication in patients hospitalized in nursing homes and has a serious impact on quality of life and overall health. Moreover, ulcer treatment is highly expensive. Several studies have shown that pressure ulcer prevention is cost-effective. Audit and feedback programmes can help improve professional practices in pressure ulcer prevention and thus reduce their occurrence. The aim of this study was to analyze, with a prospective longitudinal study, the effectiveness of an audit and feedback programme at 1- and 2-year follow-up for reducing pressure ulcer prevalence and enhancing adherence to preventive practices in nursing homes.

methodsPressure ulcer point prevalence and preventive practices were measured in 2015, 2016 and 2017 in nursing homes of the Canton of Geneva (Switzerland). Oral and written feedback was provided 2 months after every survey to nursing home reference nurses.

resultsA total of 27 nursing homes participated in the programme in 2015 and 2016 (4607 patients) and 15 continued in 2017 (1357 patients). Patients were mostly females, with mean age > 86 years and median length of stay about 2 years. The programme significantly improved two preventive measures: patient repositioning and anti-decubitus bed or mattress. It also reduced acquired pressure ulcers prevalence in nursing homes that participated during all 3 years (from 4.5% in 2015 to 2.9% in 2017, p 0.035), especially in those with more patients with pressure ulcers.

conclusionAudit and feedback is relatively easy to implement at the regional level in nursing homes and can enhance adherence to preventive measures and reduce pressure ulcers prevalence in the homes.

Indexed as

Homes for the AgedNursing HomesRegional Medical ProgramsAgedAged, 80 and overCosts and Cost AnalysisFemaleHumansLongitudinal StudiesMaleNursing AuditPressure UlcerPrevalenceProspective StudiesSwitzerland

Identifiers

PMID32469916
PMCPMC7259581

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