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Creating a Pediatric and Neonatal Pressure Injury Prevention Program When Evidence Was Sparse or Absent: A View From
1Ann Marie Nie, MSN, FNP-BC, CNP, CWOCN, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota.
Insights
Pediatric pressure injury prevention guidelines were adapted from adult protocols, leading to new interventions and recognition of device-related injuries in children. This work highlighted pediatric pressure injury prevention as a critical hospital safety concern.
Area of Science:
- Pediatric Nursing
- Patient Safety
- Quality Improvement
Background:
- Pressure injuries are increasingly recognized in pediatric patients.
- Historically, pediatric pressure injury prevention has been overlooked.
- Adult guidelines were the primary focus before this collaborative.
Purpose of the Study:
- To adapt adult pressure injury prevention guidelines for pediatric patients.
- To develop and implement specific prevention interventions for children.
- To identify and address medical device-related pressure injuries in pediatric care.
Main Methods:
- Utilized the Plan-Do-Study-Act (PDSA) quality improvement model.
- Formed a safety collaborative focused on pediatric pressure injuries.
- Adapted existing adult prevention guidelines for a pediatric population.
Main Results:
- Developed novel prevention interventions tailored for pediatric patients.
- Identified and described medical device-related pressure injuries previously unaddressed.
- Elevated pediatric pressure injury prevention as a national hospital safety concern.
Conclusions:
- Adult pressure injury prevention guidelines can be effectively adapted for pediatric use.
- The collaborative successfully created pediatric-specific interventions.
- Increased awareness and focus on pediatric pressure injury prevention are crucial for patient safety.
Abstract:
Pressure injuries are a common occurrence in the pediatric population, but only within the past decade has prevention intervention been developed specifically for the pediatric patient. At the time of the safety collaborative described, pressure injuries in children were considered nonexistent. A safety collaborative was formed to see if the pressure injury prevention guidelines for adults could be adapted to the pediatric patient. The PDSA (plan-do-study-act) quality improvement model was utilized. The collaborative brought forth not only prevention interventions specifically for the pediatric population, but the work also described medical device-related pressure injuries that were not being considered prior to the collaborative. Several national initiatives transpired that elevated pressure injury prevention of the pediatric population as a hospital safety concern.
