Pressure Points: Optimizing Braden QD Scale Documentation Through Educational Interventions

Hospital-acquired pressure injuries (HAPIs) in pediatric inpatient settings remain a significant challenge affecting patient safety and healthcare quality. Despite existing clinical guidelines, documentation inconsistencies and variability in adherence to preventive measures continue to contribute to the prevalence of these injuries. This project aimed to evaluate the effectiveness of an educational intervention on the frequency of Braden QD Scale (BQD) documentation among pediatric healthcare providers. A retrospective data analysis was conducted for a quality improvement project at a freestanding children's hospital. Baseline data on BQD documentation were collected before the intervention. A two-phase educational intervention was implemented, consisting of a learning management system (LMS) module and in-person training sessions. Post-intervention data were collected at two intervals to assess changes in documentation frequency. Data collection was conducted retrospectively and de-identified to ensure patient confidentiality. Statistical analysis, including descriptive statistics, was performed to measure the impact of the intervention. Findings demonstrated a progressive improvement in documentation frequency and scoring consistency across all three time points. BQD completion increased from 68% pre-intervention to 72% post-phase one and 88% post-phase two. Nurse-reported BQD scores showed increasing standardization over time. These results suggest improved clinical engagement and risk identification following education. These findings support integrating structured educational programs to reinforce documentation accuracy and optimize patient outcomes in pediatric healthcare settings.