Pressure Ulcer prevention - Sikker Patient

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Risk factors8 Elderly Immobile (paraplegia) Insensate(neurologicalconditions, diabetes) Debilitated Unrelieved pressureover a bonyprominence Hypotension Incontinence Malnutrition© ABM UHB
Pathophysiology9<strong>Pressure</strong>ulcers candevelopwithin just afew hours© ABM UHB
Page 1 and 2: USING THE MODEL FORIMPROVEMENT TO E
Page 3 and 4: Who are we?3 Hamish Laing Directoro
Page 5 and 6: 5ABM University Health Board,Wales
Page 7: 7What are the risk factors forpress
Page 11 and 12: 11Pressure Ulcers - what‟s thepro
Page 13 and 14: 13Pressure ulcers are life-threaten
Page 15 and 16: Pressure Ulcers: Prevention15We kno
Page 17 and 18: 17Patient safety - What‟s theprob
Page 19 and 20: 19The First Law of HealthcareImprov
Page 21 and 22: What are we trying to21accomplish?A
Page 23 and 24: How will we know that a change is a
Page 25 and 26: What works?25 What is a “good sys
Page 27 and 28: Driver Diagrams27 Primary Drivers S
Page 29 and 30: How to introduce change29 Start sma
Page 31 and 32: Testing using the PDSA Cycle for Le
Page 33 and 34: Use the PDSA Cycle to:33 Answer the
Page 35 and 36: 35Measurement and Data Collectiondu
Page 37 and 38: Keys and Barriers to Success37KeysB
Page 39 and 40: 39Introducing the SKIN BundleNigel
Page 41 and 42: Aim Drivers InterventionsRisk Ident
Page 43 and 44: 43SKIN Bundle of careimplementation
Page 45 and 46: Baseline assessment audit45 Hospita
Page 47 and 48: SKIN Bundle communication47tool© A
Page 49 and 50: Outcome measures [Metrics]49 Docume
Page 51 and 52: Initial outcomes51 Full compliance
Page 53 and 54: Pressure Ulcer occurred on January
Page 55 and 56: Spreading the intervention55 Succes
Page 57 and 58: 57New Pressure Ulcers (all grades I
Page 59 and 60:
Keys factors - to success59 Communi
Page 61 and 62:
ANY QUESTIONS?61© ABM UHB
Page 63 and 64:
Session summary63 Introduction Revi
Page 65 and 66:
Session summary65 Introduction Revi
Page 67 and 68:
67Feedback from Teams
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Pressure Ulcer prevention - Sikker Patient

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