Evaluation of the success of a Quality Improvement initiative through recognized benchmarks and outcome measures Evaluation of the QI initiative indicated that there was a limited number of nurses who had vast experience performing skin assessments. Training was limited to one day to cover ulcer prevent, staging and wound management. Lastly, not all 21 hospitals had the pressureredistribution surfaces needed to prevent HAPUs. Without properly trained and skilled healthcare professionals the QI initiative to reduce HAPUs will be ineffective. First, training staff is warranted at all KPNC regional hospitals and provide training that is longer or more frequent during the year can prove to be effective. Secondly, providing all hospitals the needed redistribution surfaces provide the greatest protection again HAPUs (Reyna, 2016). KPNC regional hospitals evaluated the QI initiative using IHI breakthrough collaborative model and performance improvement methods. The model is used to create structured learning to reduce costs and implement learning in areas that need improvement. This approach utilizes a collaborative approach that attracts many people to focus on a topic that requires much needed improvement (IHI, n.d.) The breakthrough collaborative approach was evaluated based on identified evidencebased guidelines to reduce HAPUs. Measures included the rate of all-stage HAPUs per1000 patient days and incidence rates (Crawford, Corbett, & Zuniga, 2014). Results were provided monthly to management
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