Prioritizing Health Care Solutions for Pressure Ulcers Using the Quality Function Deployment Process

Am J Med Qual. 2020 May/Jun;35(3):197-204. doi: 10.1177/1062860619869990. Epub 2019 Aug 24.


Reducing the incidence and morbidity of pressure ulcers remains a leading national priority in patient safety. However, the optimal strategy for a hospital or health system to address this safety goal is not straightforward given the number and complexity of available solutions. Leveraging techniques from systems engineering, such as the quality function deployment process, may provide a transparent and objective way to address this challenge. A detailed and practical application of quality function deployment is presented that demonstrates the value of applying engineering practices for prioritizing solutions for pressures ulcers specifically and can easily be adapted to other conditions.

Keywords: health care procurement; high-reliability operations; pressure ulcers; systems engineering.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Costs and Cost Analysis
  • Group Processes
  • Humans
  • Inservice Training / organization & administration
  • Patient Safety
  • Pressure Ulcer / prevention & control*
  • Pressure Ulcer / therapy*
  • Quality Improvement / organization & administration*
  • Systems Analysis*
  • Time Factors