Prevention of Medical Device–Related Pressure Injuries Associated With Respiratory Equipment Use in a Critical Care Unit
- 1 March 2017
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Wound, Ostomy & Continence Nursing
- Vol. 44 (2), 138-141
- https://doi.org/10.1097/won.0000000000000311
Abstract
Medical devices have been identified as an extrinsic risk factor for development of pressure injuries, with as many as 30% to 70% of medical device–related pressure injuries resulting from respiratory equipment. This article describes a quality improvement project undertaken to reduce the occurrence of respiratory device–related pressure injuries in a critically care unit. Multiple actions were implemented to achieve this goal. Respiratory therapists were trained to document occurrences on a daily basis, and apparent cause analyses were conducted on each occurrence. An interdisciplinary team conducted biweekly rounds on patients with respiratory devices and consulted other professionals as indicated. Nurses and respiratory therapists attended an evidence-based, collaborative, educational offering and completed a measure of team functioning before the program and at the end of the study period. The occurrence rates of respiratory device–related pressure injuries were reduced over the project period, and these changes were sustained over the subsequent 12 months.Keywords
This publication has 11 references indexed in Scilit:
- Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging SystemJournal of Wound, Ostomy & Continence Nursing, 2016
- Comparison of Commercial and Noncommercial Endotracheal Tube-Securing DevicesRespiratory Care, 2013
- Facial skin breakdown in patients with non‐invasive ventilation devices: report of two cases and indications for treatment and preventionInternational Wound Journal, 2013
- Patient risk factors for pressure ulcer development: Systematic reviewInternational Journal of Nursing Studies, 2013
- Challenges in pressure ulcer preventionInternational Wound Journal, 2013
- Retrospective Review of the Reduction of Oral Pressure Ulcers in Mechanically Ventilated PatientsCritical Care Nursing Quarterly, 2012
- Predictors of Pressure Ulcers in Adult Critical Care PatientsAmerican Journal of Critical Care, 2011
- Factors Associated With Pressure Ulcers in Patients in a Surgical Intensive Care UnitJournal of Wound, Ostomy & Continence Nursing, 2010
- Medical device related pressure ulcers in hospitalized patientsInternational Wound Journal, 2010
- The effect of protective treatment in reducing pressure ulcers for non-invasive ventilation patientsIntensive and Critical Care Nursing, 2008