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Record W2914485931 · doi:10.5430/jha.v8n1p44

Key to successful hospital acquired pressure injury reduction: Leadership support and engagement

2019· article· en· W2914485931 on OpenAlexvenueno aff
Sue Creehan, Joyce Black, Nick Santamaria, Jacqui Fletcher, Paulo Alves

Bibliographic record

VenueJournal of Hospital Administration · 2019
Typearticle
Languageen
FieldHealth Professions
TopicPressure Ulcer Prevention and Management
Canadian institutionsnot available
Fundersnot available
KeywordsChampionGrassrootsSenior managementMedicineQuality (philosophy)Quality managementNursingPublic relationsOperations managementPolitical scienceEngineeringManagement system

Abstract

fetched live from OpenAlex

Most acute care facilities are undergoing a major culture change and transforming into a high reliability organization focused on putting the patient experience first by delivering high quality, safe care. Reducing or eliminating hospital acquired conditions (HAC) fuels many quality improvement (QI) projects and successful reductions are attained when the support is rooted both in senior leadership and at the grassroots level. Yet each HAC requires a unique approach; specifically, pressure injury prevention programs have success with senior leaderships awareness and engagement in the complexities of the clinical and pathologic etiology of pressure injury development. This paper highlights for senior management the following evidence based key elements required for an organization to have a successful pressure injury prevention program: senior leadership engagement, a clinical champion, an interdisciplinary team, unit-based skin champions, nimble processes and access to evidence-based products.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.063
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.364
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2019
Admission routes1
Has abstractyes

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