Author Affiliations: Center on Aging, School of Nursing, University of Texas Health Science Center, Houston (Dr Bergstrom); and International Severity Information Systems, Salt Lake City, Utah (Dr Horn).
Pressure ulcer reduction has been a top priority in health care for at least 40 years, and numerous publicly and privately funded efforts to reduce pressure ulcers have emerged. The Institute of Medicine, the Joint Commission, the Institute for Healthcare Improvement through the 5 Million Lives Campaign, the National Patient Safety Initiative under the Centers for Medicare & Medicaid Service's 9th Scope of Work, and the Advancing Excellence in America's Nursing Homes Campaign have all stimulated efforts to improve quality in the last decade. Early efforts focused on quality improvement in individual facilities, while more recent efforts have focused on collaboration across facilities and states through networks. Public reporting of outcomes such as pressure ulcer incidence and prevalence are used to keep the problem at the forefront of health care improvement initiatives and to track progress.1
Bergstrom N, Horn SD. Racial Disparities in Rates of Pressure Ulcers in Nursing Homes and Site of Care. JAMA. 2011;306(2):211-212. doi:10.1001/jama.2011.961