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Decreasing Incidence of Medical Device-Related Pressure Injuries in a Small Community Hospital: A Quality Improvement
Melissa C Monarca1, Patty Marteka, Karen Breda
1Melissa C. Monarca, MSN, RN, CWON, Wound Care Department, Middlesex Hospital, Middletown, Connecticut; and University of Hartford, West Hartford, Connecticut. Patty Marteka, MSN, RN-BC, CBN, Middlesex Hospital, Middletown, Connecticut; and University of Hartford, West Hartford, Connecticut. Karen Breda, PhD, MSN, RN, University of Hartford, West Hartford, Connecticut.
Summary
Medical device-related pressure injuries (MDRPIs) affect one-third of patients. A quality improvement project developed guidelines and implemented a new securement device, successfully reducing MDRPI incidence.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety
- Medical Device Innovation
Background:
- Medical device-related pressure injuries (MDRPIs) represent a significant portion of hospital-acquired pressure injuries.
- Effective prevention strategies are crucial for improving patient outcomes and reducing healthcare costs.
Purpose of the Study:
- To develop and implement an evidence-based guideline for preventing MDRPIs in an acute care setting.
- To introduce and evaluate a novel nasogastric tube securement device designed to alleviate pressure on the nares.
Main Methods:
- Guideline development incorporating evidence-based practices.
- Multifaceted educational initiatives for healthcare staff.
- Evaluation of MDRPI incidence rates.
- Implementation and assessment of a new nasogastric tube securement device.
Main Results:
- A significant reduction in the incidence of MDRPIs was observed over a 12-month period following implementation.
- Successful hospital-wide adoption of the new nasogastric tube securement device.
Conclusions:
- The developed guideline and the new securement device were effective in reducing MDRPIs.
- This quality improvement initiative demonstrates a successful approach to mitigating device-related pressure injuries.
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