{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:23:45Z","timestamp":1758273825282},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T00:00:00Z","timestamp":1520467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Identifying strategies to protect patients most at risk for hospital\u2010acquired pressure ulcers (HAPU) is essential. HAPUs have significant impact on patients and their families and have profound cost and reimbursement implications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This article describes the successful implementation of a hospital\u2010wide mattress switch\u2010out program using a Multidisciplinary Task Force, which resulted in a decrease in HAPUs and significant cost savings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>As a result of this quality improvement project supported by evidence, the hospital realized a 66.6% decrease in Stage III and IV HAPUs, a 50% reduction in patient complaints about mattress comfort, a cost savings of $714,724, and an endorsement of bedside nurse clinical autonomy by nursing and executive leaders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Nursing leaders can effectively realize large\u2010scale initiatives by developing and implementing wide\u2010ranging operational projects, like this 2.5\u2010day, 275\u2010bed hospital mattresses switch\u2010out.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12280","type":"journal-article","created":{"date-parts":[[2018,3,8]],"date-time":"2018-03-08T13:28:40Z","timestamp":1520515720000},"page":"161-169","source":"Crossref","is-referenced-by-count":2,"title":["Large\u2010Scale Hospital Mattress Switch\u2010Out Leads to Reduction Hospital\u2010Acquired Pressure Ulcers: Operationalization of a Multidisciplinary Task Force"],"prefix":"10.1111","volume":"15","author":[{"given":"Kerri","family":"Elsabrout","sequence":"first","affiliation":[{"name":"Director of Nursing, White Plains Hospital Nursing Administration  White Plains NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Orbacz","sequence":"additional","affiliation":[{"name":"Clinical Coordinator, White Plains Hospital Nursing Administration  White Plains NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leigh Anne","family":"McMahon","sequence":"additional","affiliation":[{"name":"Sr. V.P. Patient Care Services, Chief Nursing Officer, White Plains Hospital Nursing Administration  White Plains NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Apold","sequence":"additional","affiliation":[{"name":"Clinical Professor of Nursing, Robert Wood Johnson Executive Nurse Fellow, The Rory Meyers College of Nursing New York University  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,8]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Agency for Healthcare Research and Quality. (2014).Preventing pressure ulcers in hospitals\u20141. Are we ready for this change?Retrieved fromhttps:\/\/www.ahrq.gov\/professionals\/systems\/hospital\/pressureulcertoolkit\/putool1.html"},{"key":"e_1_2_10_3_1","unstructured":"Agency for Healthcare Research and Quality. (2015).Pressure ulcer rate technical specifications patient safety indicators 03 (PSI 03). Retrieved fromhttps:\/\/qualityindicators.ahrq.gov\/Downloads\/Modules\/PSI\/V50\/TechSpecs\/PSI_03_Pressure_Ulcer_Rate.pdf"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1188\/11.CJON.593-595"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.155260"},{"issue":"2","key":"e_1_2_10_6_1","first-page":"24","article-title":"Pressure ulcers: Avoidable or unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference","volume":"57","author":"Black J.","year":"2011","journal-title":"Ostomy Wound Management"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.CJON.157-159"},{"key":"e_1_2_10_8_1","unstructured":"Centers for Medicare & Medicaid Services (CMS). (2015).Hospital\u2010acquired conditions. Retrieved fromhttps:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/HospitalAcqCond\/Hospital-Acquired_Conditions.html"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-1-201307020-00006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2015.24.4.179"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccell.2005.01.002"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2011.20.11.661"},{"key":"e_1_2_10_13_1","unstructured":"Health Research & Educational Trust. (2017).Hospital acquired pressure ulcers\/injuries (HAPU\/I): 2017. Retrieved fromhttps:\/\/www.hret-hiin.org\/"},{"key":"e_1_2_10_14_1","volume-title":"How\u2010to guide: Prevent pressure ulcers","author":"Institute for Healthcare Improvement","year":"2011"},{"issue":"6","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4037\/ccn2008.28.6.58","article-title":"The practice of clinical autonomy in hospitals: 20,000 nurses tell their story","volume":"28","author":"Kramer M.","year":"2008","journal-title":"Critical Care Nurse"},{"issue":"1","key":"e_1_2_10_16_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5480\/14-1364","article-title":"Use of the Iowa Model of research in practice as a curriculum framework for the doctor of nursing practice (DNP) project completion","volume":"37","author":"Lloyd S.","year":"2016","journal-title":"Nursing Education Perspectives"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.10.014"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-8-201310150-00003"},{"key":"e_1_2_10_19_1","volume-title":"Terms and definitions related to support surfaces","author":"National Pressure Ulcer Advisory Panel (NPUAP)","year":"2007"},{"key":"e_1_2_10_20_1","unstructured":"National Pressure Ulcer Advisory Panel (NPUAP). (2016).Pressure ulcer prevention points. Retrieved fromhttps:\/\/www.npuap.org\/wp-content\/uploads\/2016\/04\/Pressure-Injury-Prevention-Points-2016.pdf"},{"key":"e_1_2_10_21_1","volume-title":"Prevention and treatment of pressure ulcers: Quick reference guide","author":"National Pressure Ulcer Advisory Panel (NPUAP)","year":"2014"},{"key":"e_1_2_10_22_1","unstructured":"New Jersey Hospital Association Institute for Quality & Patient Safety. (n.d.).NJHA Pressure Ulcer Initiative pressure ulcer prediction Prevention and treatment pathway. Retrieved fromhttps:\/\/www.njha.com\/media\/40915\/put_pathway_chart.pdf"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03446.x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2012.06122.x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2016963"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NUMA.0000361812.81992.6a"},{"issue":"4","key":"e_1_2_10_27_1","first-page":"12","article-title":"Pressure ulcers: Avoidable or otherwise","volume":"10","author":"White R.","year":"2014","journal-title":"Wounds UK"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2015.04.001"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1945-1474.2010.00076.x"}],"container-title":["Worldviews on Evidence-Based Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fwvn.12280","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12280","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/wvn.12280","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T07:13:34Z","timestamp":1694157214000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/wvn.12280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,8]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/wvn.12280"],"URL":"https:\/\/doi.org\/10.1111\/wvn.12280","archive":["Portico"],"relation":{},"ISSN":["1545-102X","1741-6787"],"issn-type":[{"value":"1545-102X","type":"print"},{"value":"1741-6787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,8]]}}}