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Reducing hospital admissions in patients with pressure ulcers Hot

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Area Classification

Community Care / Primary Care

Briefly describe what it is

The Tissue Viability service appointed an additional nurse to tackle the increasing incidence of pressure ulcers in nursing home patients, many of which resulted in hospital admission. This included increased frequency of visits for patient reviews and an educational programme for all nursing home staff. Additional the Trust would care formulary was introduced to the nursing homes to ensure dressing selection was appropriate for the wound type.

Were there any key things that you had to do to make it happen?

Work closely with our partners in Nursing homes to identify and acknowledge the extent of the problem.Audit the number of pressure ulcers in the Nursing home population.
Prepare a business case to go to the Board for approval to justify additional funding.
Following approval specifiy the scope of the project.

Describe (and provide evidence) of the impact on quality of care

Data collection has shown a reduction in the number and severity of pressure ulcers in nursing homes.
Data from our acute providers has shown a decrease in the number of patients admitted from the community with pressure ulcers by 50% for the period April-August 2008/09

Describe (and provide evidence) of the impact on patient (or staff) experience

Patients remain in their own environment.
Fewer patients developing pressure ulcers means a better quality of life.
Nursing home staff feel empowered and their increased knowledge has improved their decision making
The Tissue Viability team have develop greater working relationships with local nursing homes

Describe (and provide evidence) of the impact on reducing cost

For 2008 25-45 admissions and for 2009 0-12 patients admitted. Based on admission costs of £199 per nights with average stays of 9 nights the cost saving is £59,100 based on the highest number of admissions.Additional improvements in quality of life for patients who did not develop pressure ulcers.

Keywords / Tags

Hospital avoidance

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