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Prevalence of Moisture-Associated Skin Damage in an Acute Care Setting: Outcomes From a Quality Improvement Project

Sherry Lynn Werth1, Rachel Justice

  • 1Sherry Lynn Werth, MSN, RN, CWOCN, Sparrow Hospital, Lansing, Michigan. Rachel Justice, MSN, RN, AGCNS-BC, CMSRN, Sparrow Hospital, Lansing, Michigan.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|January 5, 2019
PubMed

Insights

Moisture-associated skin damage (MASD) affects over 4% of patients, with incontinence-associated dermatitis being a significant component. This study determined the prevalence of MASD in a Midwestern teaching hospital.

Area of Science:

  • Dermatology
  • Nursing
  • Quality Improvement

Background:

  • Moisture-associated skin damage (MASD) involves skin inflammation or erosion due to prolonged moisture exposure from sources like urine, stool, perspiration, or wound exudate.
  • Understanding MASD prevalence is crucial for effective patient care and prevention strategies in healthcare settings.

Purpose of the Study:

  • To determine the prevalence of Moisture-associated skin damage (MASD) within a Midwestern United States teaching hospital.
  • To identify the occurrence of incontinence-associated dermatitis as a specific type of MASD.

Main Methods:

  • A 12-month quality improvement project conducted quarterly data collection alongside the Pressure Ulcer Prevalence Survey (PUPS).
  • A specialized team of 40 Registered Nurses (RNs), including 20 Skin Care Champions, performed head-to-toe skin assessments.
  • Data collection involved assessing for pressure injuries and using a WOC nurse-developed form for MASD identification, including location and treatment.

Main Results:

  • The overall prevalence of Moisture-associated skin damage (MASD) was found to be 4.34% (62 out of 1427 patients).
  • Incontinence-associated dermatitis, a subset of MASD, had a prevalence of 1.54% (22 out of 1427 patients).

Conclusions:

  • MASD represents a notable prevalence within the studied hospital population.
  • Targeted interventions and ongoing surveillance are essential for managing and preventing MASD and related conditions like incontinence-associated dermatitis.

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