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Pressure Redistribution Crib Mattress: A Quality Improvement Project.

Charleen Deo Singh1, Noordeen Shoqirat

  • 1Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, Sacramento, California; San Jose State University Wound Ostomy Program, San Jose, California; and Cottage Hospital, Santa Barbara, California. Noordeen Shoqirat, PhD, RN, Mutah University, Karak, Jordan.

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Summary

A new pressure redistribution mattress for critical care cribs effectively prevents pressure injuries in critically ill children. This support surface is a key component of pediatric pressure injury prevention bundles.

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Area of Science:

  • Pediatric critical care medicine
  • Medical device evaluation
  • Wound prevention

Background:

  • Pressure-redistributing support surfaces are vital for preventing pressure injuries.
  • Critically ill children often use critical care cribs lacking pressure-redistributing mattresses.
  • Evaluating specialized mattresses for these cribs is necessary.

Purpose of the Study:

  • To assess the efficacy of a pressure redistribution mattress designed for critical care cribs.
  • To determine if this mattress reduces pressure injury incidence in pediatric patients.

Main Methods:

  • Retrospective chart review of 22 critically ill pediatric patients.
  • Data collected over a 12-week product trial.
  • Analysis included demographics, skin assessments, and Braden Q Scale scores.

Main Results:

  • No pressure injuries were recorded during the 12-week study period.
  • The pressure redistribution mattress was used as part of a prevention bundle.

Conclusions:

  • The evaluated pressure redistribution mattress appears effective in preventing pressure injuries.
  • This specialized mattress is a valuable addition to pressure injury prevention strategies for critically ill children.