Pressure Injury Prevention Program Implementation Guide

Get Ready

Before launching your Pressure Injury Prevention Program, make sure your hospital is ready. Assess your organization’s readiness for such a program.

Assess Your Organization’s Readiness

To assess your organization’s readiness to launch AHRQ’s Pressure Injury Prevention Program, review Section 1 of AHRQ’s Pressure Ulcer Prevention Toolkit. Then assess your organization’s readiness for change.

One option for assessing your organization’s readiness for this initiative is to complete the Organizational Readiness Checklist at the end of Section 1 in the Toolkit.

As an alternative, your hospital leadership and potential Implementation Team leaders may want to answer the questions in Table 2 below. These questions were developed based on the checklist included in the Toolkit but were expanded for the AHRQ pilot initiative (see AHRQ’s Pressure Injury Prevention Program above), and are more specific to elements of this prevention initiative.

Table 2. Assess Your Hospital’s Readiness To Launch AHRQ’s Pressure Injury Prevention Program

Question Answer
  • Does your hospital have a culture that focuses on a systems approach to error reduction?
 
  • Has your hospital identified hospital-specific reasons to change how it manages the prevention of pressure injuries?
 
  • Has your hospital assessed staff attitudes about pressure injuries?
 
  • If yes, has your hospital analyzed assessment results to identify awareness-building needs?
 
  • On a scale of 1 to 5, with 5 being the highest level of support, rate the overall medical staff support for implementing AHRQ’s Pressure Injury Prevention Program at your hospital.
 
  • Has your hospital identified supporters who have a sense of urgency for addressing pressure injury prevention?
 
  • If no, and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that pressure injuries are a significant safety concern for many reasons and that prevention efforts are needed?
 
  • Has your hospital assessed leadership support for pressure injury prevention?
 
  • If leadership support for pressure injury prevention is lacking, has your hospital begun efforts to generate it?
 
  • Has your hospital identified a senior leader who can serve as a champion for the pressure injury prevention effort?
 
  • Has your hospital identified a leader for the AHRQ pressure injury prevention effort?
 
  • Is this leader currently involved in the planning steps to participate in this program?
 
  • Has your hospital done baseline measurement of your pressure injury rate?
 
  • If yes, have you done it by each unit?
 
  • If yes, have you identified a goal for improvement?
 
  • If no, will you be able to measure the baseline rate before beginning your efforts and have the resources to continue to measure monthly or at a minimum, quarterly, throughout your improvement efforts?
 
  • Has your hospital done baseline measurement of at least two pressure injury process measures on your target units? (To learn more about measurement, see the supplementary training webinars Wound Classification and Measuring Pressure Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement.)
 
  • If yes, have you identified a goal for improvement?
 
  • If yes, do you have the resources to continue to measure the processes monthly throughout your improvement efforts?
 
  • If no, will you be able to measure two process measures monthly throughout your improvement efforts?
 
  • Has your hospital developed a preliminary list of needed human (e.g., specific staff required) and material resources?
 
  • Is this leader currently involved in the planning steps to participate in this program?
 
  • Has your hospital obtained commitments or intentions from senior leadership to provide those resources?
 

Develop a Plan To Build and Support Readiness

Review your responses to the checklist in Section 1 of the Toolkit (or the questions in Table 2 above), paying particular attention to “no” responses or low ratings. Then develop a plan to address those areas before launching AHRQ’s Pressure Injury Prevention Program; failure to do so can imperil program success. Section 1 of the Toolkit suggests ways to build and support readiness. Share your results with those who will plan and facilitate the in-person training.

Page last reviewed October 2017
Page originally created September 2017
Internet Citation: Get Ready. Content last reviewed October 2017. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/professionals/systems/hospital/pressureinjurypxtraining/implguide-getready.html
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