{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:44:33Z","timestamp":1783471473055,"version":"3.55.0"},"reference-count":13,"publisher":"AACN Publishing","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,3,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Hospital-acquired pressure ulcers (HAPUs) are a costly and largely preventable complication occurring in a variety of acute care settings. Because they are considered preventable, stage III and IV HAPUs are not reimbursed by Medicare.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To assess the effectiveness of a formal, year-long HAPU prevention program in an adult intensive care unit, with a goal of achieving at least a 50% reduction in 2013, compared with 2011.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Planning for the prevention program began in 2012, and the program was rolled out in the first quarter of 2013. Program components included use of Braden scores, a revised skin care protocol, fluidized repositioners, and silicone gel adhesive dressings. Efforts were made to educate and motivate staff and encourage them to be more proactive in detecting patients at risk of HAPUs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Incidence of HAPUs in the unit was reduced by 69% (n = 17; 3% of patients in 2013 vs n = 45, 10% of patients in 2011), despite a 22% increase in patient load. The potential cost saving as a result of this decrease was approximately $1 million.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A comprehensive, proactive, collaborative ulcer prevention program based on staff education and a focus on adherence to protocols for patient care can be an effective way to reduce the incidence of HAPUs in intensive care units.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2016963","type":"journal-article","created":{"date-parts":[[2016,3,1]],"date-time":"2016-03-01T09:13:06Z","timestamp":1456823586000},"page":"152-155","source":"Crossref","is-referenced-by-count":36,"title":["Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit"],"prefix":"10.4037","volume":"25","author":[{"given":"Katie","family":"Swafford","sequence":"first","affiliation":[{"name":"Katie Swafford is a critical care clinical nurse specialist and Rachel Culpepper and Christina Dunn are staff nurses and shift coordinators in the critical care unit at Eskenazi Health, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Culpepper","sequence":"first","affiliation":[{"name":"Katie Swafford is a critical care clinical nurse specialist and Rachel Culpepper and Christina Dunn are staff nurses and shift coordinators in the critical care unit at Eskenazi Health, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Dunn","sequence":"first","affiliation":[{"name":"Katie Swafford is a critical care clinical nurse specialist and Rachel Culpepper and Christina Dunn are staff nurses and shift coordinators in the critical care unit at Eskenazi Health, Indianapolis, Indiana."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"issue":"2","key":"2020032708320213600_b1-0250152","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4037\/ajcc2012716","article-title":"Patient-specific and surgical characteristics in the development of pressure ulcers","volume":"21","author":"Tschannen","year":"2012","journal-title":"Am J Crit Care"},{"issue":"9","key":"2020032708320213600_b2-0250152","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/S1553-7250(13)39054-0","article-title":"Pressure ulcers and prevention among acute care hospitals in the United States","volume":"39","author":"Bergquist-Beringer","year":"2013","journal-title":"Jt Comm J Qual Patient Saf"},{"issue":"2","key":"2020032708320213600_b3-0250152","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.apnr.2014.07.001","article-title":"The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study","volume":"28","author":"Mallah","year":"2015","journal-title":"Appl Nurs Res"},{"issue":"3","key":"2020032708320213600_b4-0250152","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1111\/iwj.12160","article-title":"The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial","volume":"12","author":"Santamaria","year":"2015","journal-title":"Int Wound J"},{"key":"2020032708320213600_b5-0250152","unstructured":"National Database of Nursing Quality Indicators\n          NDNQI\n          website. http:\/\/www.nursingquality.org\/?purl=improvequality.aspx. Accessed December 4, 2014."},{"key":"2020032708320213600_b6-0250152","unstructured":"Shreve\n              J\n            , Van Den BosJ, GrayT, . The economic measurement of medical errors. Schaumburg, IL:Society of Actuaries, 2010. https:\/\/www.soa.org\/research\/research-projects\/health\/research-econ-measurement.aspx. Accessed October 2, 2015."},{"key":"2020032708320213600_b7-0250152","unstructured":"Department of Health and Human Services. Center for Medicare and Medicaid Services. SMDL #08-004. July 31, 2008. State Medicaid Director letter. http:\/\/downloads.cms.gov\/cmsgov\/archived-downloads\/SMDL\/downloads\/SMD073108.pdf. Accessed October 2, 2015."},{"issue":"2","key":"2020032708320213600_b8-0250152","first-page":"1","article-title":"Pressure ulcer prevention: an evidence-based analysis","volume":"9","author":"Health Quality Ontario","year":"2009","journal-title":"Ont Health Technol Assess Ser"},{"key":"2020032708320213600_b9-0250152","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12337","article-title":"Getting evidence-based pressure ulcer prevention into practice: a multi-faceted unit-tailored intervention in a hospital setting [published online July 25, 2014]","author":"Sving","journal-title":"Int Wound J"},{"key":"2020032708320213600_b10-0250152","unstructured":"The National Pressure Ulcer Advisory Panel - NPUAP. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. 2014. http:\/\/www.npuap.org\/resources\/educational-and-clinical-resources\/prevention-and-treatment-of-pressure-ulcers-clinical-practice-guideline\/. Accessed October 2, 2015."},{"issue":"4","key":"2020032708320213600_b11-0250152","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1111\/iwj.12197","article-title":"Dressings as an adjunct to pressure ulcer prevention: consensus panel recommendations","volume":"12","author":"Black","year":"2015","journal-title":"Int Wound J"},{"issue":"5","key":"2020032708320213600_b12-0250152","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/iwj.12212","article-title":"Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers","volume":"11","author":"Clark","year":"2014","journal-title":"Int Wound J"},{"issue":"3","key":"2020032708320213600_b13-0250152","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1111\/j.1365-2702.1995.tb00200.x","article-title":"A critique of \u201cat risk\u201d pressure sore assessment tools","volume":"4","author":"Smith","year":"1995","journal-title":"J Clin Nurs"}],"container-title":["American Journal of Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/aacnjournals.org\/ajcconline\/article-pdf\/25\/2\/152\/95173\/152.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/aacnjournals.org\/ajcconline\/article-pdf\/25\/2\/152\/95173\/152.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T12:41:49Z","timestamp":1585312909000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/ajcconline\/article\/25\/2\/152\/3109\/Use-of-a-Comprehensive-Program-to-Reduce-the"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,1]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,3,1]]}},"URL":"https:\/\/doi.org\/10.4037\/ajcc2016963","relation":{},"ISSN":["1062-3264","1937-710X"],"issn-type":[{"value":"1062-3264","type":"print"},{"value":"1937-710X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,1]]}}}