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This “guideline of all guidelines” is designed to help wound care professionals provide consistent, high-quality PU care and improve patient and PU outcomes, professional satisfaction, and reimbursement while decreasing liability and costs of care. Absence of compelling evidence (B or C level) supporting a specific step suggests the step may not be better than preferred current practice and highlights opportunities for controlled research before that recommendation qualifies as recommended PU care. Periodic PUCI updates based on new evidence will perpetuate a continuously improving framework within which efficacy and clinical relevance of PU care can be further validated.

Acknowledgment

     The authors gratefully acknowledge their AAWCGS colleagues: Mona M. Baharestani, PhD, ANP, CWOCN, CWS, Associate Professor, East Tennessee State University Center for Nursing Research and James H. Quillen, Veteran’s Administration Medical Center; Roslyn S. Jordon, RN, BSN, CWOCN; and Sophia Kahn, MD, MBBS, MGenSurg Medical Director, New Mexico Rehabilitation Center; Patrick McNees, PhD, FAAN, Professor and Associate Dean for Research, School of Health Professions, University of Alabama at Birmingham; and Laurie Rappl, PT, Span America Medical Systems. The authors also thank the NPUAP for providing an advance copy of its draft PU guideline.

Refernces

1. Margolis DJ, Bilker W, Knauss J, Baumgarten M, Strom BL. The incidence and prevalence of pressure ulcers among elderly patients in general medical practice. Ann Epidemiol. 2002;12(5):321–325.

2. Reger SI, Ranganathan VK, Sahgal V. Support surface interface pressure, microenvironment, and the prevalence of pressure ulcers: an analysis of the literature. Ostomy Wound Manage. 2007;53(10):50–58.

3. Lyder CH, Shannon R, Empleo-Frazier O, McGeHee D, White C. A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes. Ostomy Wound Manage. 2002;48(4):52–62.

4. McInerney JA. Reducing hospital-acquired pressure ulcer prevalence through a focused prevention program. Adv Skin Wound Care. 2008;(2):75–78.

5. Hanson DS, Langemo D, Olson B, Hunter S, Burd C. Decreasing the prevalence of pressure ulcers using agency standards. Home Healthcare Nurs. 1996;14(7):525–531.

6. Xakellis GC, Frantz RA, Arteaga M, Nguyen M, Lewis A. A comparison of patient risk for pressure ulcer development with nursing use of preventive interventions. J Am Geriatr Soc. 1992;40(12):1250–1254.

7. Kerstein MD, Gemmen E, van Rijswijk L, et al. Cost and cost effectiveness of venous and pressure ulcer protocols of care. Dis Manage Health Outcomes. 2001;9(11):651–663.

8. Kobza L, Scheurich A. The impact of telemedicine on outcomes of chronic wounds in the home-care setting. Ostomy Wound Manage. 2000;45(10):48–53.

9. McIsaac C. Managing wound care outcomes. Ostomy Wound Manage. 2005;51(4):54–59.

10. Xakellis GC, Frantz RA, Lewis A, Harvey P. Cost-effectiveness of an intensive pressure ulcer prevention protocol in long-term care. Adv Wound Care. 1988;11(1):22–29.

11. National Guideline Clearinghouse. Available at: www.guideline.gov. Accessed June 30, 2008.

12. Hadorn DC, McCormick K, Diokno A. An annotated algorithm approach to clinical guideline development. JAMA. 1992;267(24):3311–3314.

13. Institute of Medicine Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Available at: www.nap.edu/catalog/10027.html. Accessed August 1, 2008.

14. Bates-Jensen B. Quality indicators for prevention and management of pressure ulcers in vulnerable elders. Ann Intern Med. 2001;135:8(Part 2):744–751.

15. Joint Commission Disease-Specific Care Certification Program. Available at: http://www.jointcommission.org/dsc. Accessed July 1, 2008.

16.