While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
Reducing Bedsores by Creating Awareness of When to Turn Patients – University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pa.
Increase the frequency and consistency with which patients are turned.
Staff posted “Time to Turn” visual indicator signage on patient doors.
Staff turned and positioned patients consistently every two hours.
University of Pittsburgh Medical Center
200 Lothrop St.
Pittsburgh, PA 15213-2582
P: (412) 647-8762
From the experts:
“Something as simple as a magnet has enabled us to improve safety by establishing a standardized indicator telling when patients need to be turned. Not only are patients being turned on a regular basis, but family members are learning how important it is to continue this care at home for their loved one.”
Lisa Vertacnik, M.S.N.
Unit Director, Magee-Women's Hospital of UPMC
University of Pittsburgh Medical Center is composed of 19 hospitals and a network of other care sites across western Pennsylvania and throughout the world.
Clinical areas affected:
The program was tested for six months and is currently being spread throughout the entire health system.
Mary Kay Wisniewski, M.T.
Center for Quality Improvement and Innovation
P: (412) 802-8066
On a medical unit filled with patients with complex conditions and busy staff, it became apparent that taking time to turn patients needed to be a much higher priority. Many of the patients were at risk for skin breakdown and respiratory compromise when not frequently turned. Additionally, caregivers were unsure about when to turn patients and adequately position them because it was not clear when a patient had last been turned.
To improve the frequency and consistency of turning patients, a visual indicator was developed that could easily and immediately be seen by all front-line staff. The initial visual included a magnet that was moved every two hours to indicate when the patient was last turned and provide guidance on which direction to turn the patient.
In addition to establishing a standard for caregivers, families also learned the importance of turning patients and can adapt this intervention for use at home.
Advice and lessons learned:
Staff have maintained zero tolerance for pressure ulcers and skin breakdown. Benefits also include a decreased risk of nosocomial pneumonia.
Short reports of effective and promising interventions demonstrated through the work of RWJF grantmaking. These products include summaries of interventions and "how-to" guides for improving care, summaries of major issues in health care, and video and audio files that further illustrate these ideas.View All
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Recent studies have demonstrated a connection between low-socioeconomic status and poor health in children. This study builds upon previous ...
This study examined the impact that race has on the prevalence of self-reported diabetes for Hispanic and non-Hispanic people. Data from the...
In this article, the authors consider the social, structural and symbolic effects of the recent and rapid spread of legal gambling in the Un...
Immigrants and their children are one of the fastest growing components of the U.S. population. One in five Americans under the age of 18 is...
Most studies investigating links between social capital and health have relied on work by Robert Putnam who conceptualized social capital as...
The present article considered cardiovascular patients' adherence to physicians' medication recommendations. Nonadherence was defined as fol...
This study examined the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children in the United States. Also of interest ...
The current article explored risk factors for iron deficiency for toddlers in the United States with a focus on Hispanic toddlers. Data from...
The research presented in this article compared the density and concentration of pro-tobacco media messages in African-American and White ma...
This article describes efforts to use information on influenza burden and vaccine efficacy to estimate how influenza vaccine recommendations...