A quality-oriented approach to pressure ulcer management in a nursing facility

Jeffrey M. Levine, Elizabeth Totolos

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


The Jewish Home and Hospital for Aged, Bronx Division, is an 816-bed nursing facility that has developed a strategy for pressure ulcer management which relies on documentation, data flow, and feedback. Our system incorporates principles of Quality Improvement, and hasresulted in a remarkably low nosocomial ulcer prevalence rate of 3.1%. We discuss Quality Improvement in the nursing facility and examine the value of pressure ulcer prevalence as aquality indicator. We present details of our system, highlighting the flow of information which comprises the Quality Improvement infrastructure, and include a discussion of benefits and costs of our system.

Original languageEnglish
Pages (from-to)413-418
Number of pages6
JournalThe Gerontologist
Issue number3
StatePublished - Jun 1994
Externally publishedYes


  • Models of caregiving
  • Pressure ulcers
  • Quality improvement


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