Authors

  1. Zubkoff, Lisa PhD
  2. Neily, Julia MS, MPH, RN
  3. King, Beth BSN, MA, RN, CCM
  4. Morgan, Storm MSN, RN, MBA
  5. Young-Xu, Yinong PhD
  6. Boar, Shoshana MS
  7. Mills, Peter PhD, MS

Abstract

The Veterans Health Administration implemented a Virtual Breakthrough Series to prevent pressure ulcers. The pressure ulcer rate decreased from 1.2 to 0.9 per 1000 bed days of care (P = .017). The most common interventions were education (N = 26; 68%), improved documentation (N = 23; 61%), and the use of equipment and supplies (N = 21; 55%). In summary, this project helped improve pressure ulcer rates in the Veterans Health Administration and presents a promising model for implementing a virtual model for improvement.