Unpacking the challenges of conducting embedded, learning health system research: The winning entries of a Challenge Contest sponsored by AcademyHealth

Project : injuries (PrIs) worsen patient morbidity and increase hospital costs. Early recognition is imperative for reducing preventable harm. A process improvement project, TIC DOWN PrI, was undertaken to decrease PrIs by increasing the performance of a 2-RN skin assessment within 24 hours of admission using video technology and TeleICU RNs. TeleICU RNs docu-ment assessment findings, review PrI prevention best practices, and discuss missed opportunities with the bedside RNs. Wound Ostomy Continence RNs are consulted for validating skin alter-ations, when necessary. The project is being conducted in three medical ICUs (79 beds) within the BJC Healthcare System from October 2021 to March 2023. No funding was received for the project.