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evidence-based practice, nursing, pressure ulcer, quality improvement, wound care



  1. Dibsie, Laura G. MSN, RN, CCRN, CNS


Hospital-acquired skin breakdown is closely associated with the quality of care, specifically nursing care, within a hospital. A multisite academic medical center, attempting to change practice following 2 significant episodes of reportable skin breakdown, mobilized resources to impact change. As a result of organization-wide nursing activities and implementation of an evidence-based practice protocol, improvement in prevalence data results indicates success.