Large‐Scale Hospital Mattress Switch‐Out Leads to Reduction Hospital‐Acquired Pressure Ulcers: Operationalization of a Multidisciplinary Task Force

摘要

ABSTRACT Background Identifying strategies to protect patients most at risk for hospital‐acquired pressure ulcers (HAPU) is essential. HAPUs have significant impact on patients and their families and have profound cost and reimbursement implications. Aims This article describes the successful implementation of a hospital‐wide mattress switch‐out program using a Multidisciplinary Task Force, which resulted in a decrease in HAPUs and significant cost savings. Results As a result of this quality improvement project supported by evidence, the hospital realized a 66.6% decrease in Stage III and IV HAPUs, a 50% reduction in patient complaints about mattress comfort, a cost savings of $714,724, and an endorsement of bedside nurse clinical autonomy by nursing and executive leaders. Linking Evidence to Action Nursing leaders can effectively realize large‐scale initiatives by developing and implementing wide‐ranging operational projects, like this 2.5‐day, 275‐bed hospital mattresses switch‐out.