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Reducing hospital-acquired pressure injuries.

Yasser K Al-Otaibi1, Noura Al-Nowaiser1, Arshur Rahman1

  • 1General Department of Medical Services, Quality & Patient Safety, Riyadh, Saudi Arabia.

BMJ Open Quality
|April 19, 2019
PubMed
Summary

Implementing an evidence-based pressure injury prevention (PIP) bundle significantly reduced hospital-acquired pressure injury prevalence by 84% in a Saudi Arabian hospital. This improvement was sustainable, demonstrating the effectiveness of bundled interventions.

Keywords:
bed Sorehospitalpressure ulcerprevention

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Area of Science:

  • Healthcare Improvement
  • Patient Safety
  • Quality Management

Background:

  • Hospital-acquired pressure injuries are a prevalent and preventable patient safety concern.
  • A 144-bed governmental hospital in Saudi Arabia reported a 7.5% pressure injury prevalence in 2016.

Purpose of the Study:

  • To decrease the hospital-acquired pressure injury prevalence from 7.5% to below 4% by the end of 2017.
  • To implement and evaluate an evidence-based strategy for pressure injury prevention.

Main Methods:

  • Utilized the Institute for Healthcare Improvement Model for Improvement.
  • Implemented an evidence-based risk assessment tool and a bundled pressure injury prevention (PIP) intervention.
  • Monitored compliance with risk assessment and PIP interventions.

Main Results:

  • Achieved an 84% reduction in pressure injury prevalence over 12 weeks (RR 0.16; 95% CI 0.07 to 0.3; p <0.0001).
  • Observed significant improvements in compliance with pressure injury risk assessment and interventions.
  • Demonstrated sustainable improvement with minimal outcome variability.

Conclusions:

  • An evidence-based bundled approach is highly effective in reducing hospital-acquired pressure injuries.
  • The implemented strategy led to a significant and sustainable decrease in pressure injury rates.
  • This project highlights the success of structured quality improvement initiatives in patient care.