Maricopa Medical Centre (Phoenix, Arizona) formed an inter-agency task force (total quality management team) to implement a pressure ulcer prevention program. After data collection the team used a cause and effect diagram of pressure ulcer development to show the problems related to the environment, equipment, procedures, patients, policies, and caregiver knowledge as they all affected patient outcome. Though many problems or factors were identified, the task force focused on those areas it coul...

BPIR Categories

14.3.2 Implement an improvement approach/method/technique
9.4.7 Develop team competencies
6.4.1 Improve process/service performance

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