Taylor C, Mulligan K, McGraw C. Barriers and enablers to the implementation of evidence-based practice in pressure ulcer prevention and management in an integrated community care setting: a qualitative study informed by the theoretical domains framework. Health Soc Care Community. 2021; 29:(3)766-779

A quality improvement project that led to a reduction in pressure damage

17 August 2023
Volume 32 · Issue 15

Pressure ulcers (PUs) can have a devastating effect on individuals, affecting quality of life and in some cases proving fatal. The reasons why ageing skin is more vulnerable to pressure damage include reduced mobility, loss of skin elasticity and blood flow, which make skin more prone to damage.

East London Foundation Trust (ELFT) is a mental health and community NHS Trust. Reducing harm from pressure ulcers is high on the Trust's agenda and the responsibility for reducing PUs sits with every healthcare worker. We work closely with external organisations such as the integrated care board (ICB), acute providers, the local authority responsible for commissioning care packages for the older population, nursing home staff and GPs.

It was our ambition to reduce PUs acquired in our care by 10% over a 12-month period by implementing a quality improvement (QI) project. The QI team consisted of nurses, therapists, the peer support worker, patient quality and compliance staff, the QI faculty and senior leaders.

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