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[Reducing the Incidence of Medical Adhesive-Related Skin Injuries in Surgical Intensive Care Unit]
Tsai-Rung Lin1, Ming-Fang Hu2, Jin-Hui Liu2
1MSN, RN, Head Nurse, Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan, ROC.
Background & Problems:
Patients with critical illnesses face an elevated risk of medical adhesive relation skin injuries (MARSI), which have negative, subsequent impacts on recovery and quality of healthcare.
Purpose:
The aim of this project was to decrease the incidence of MARSI in the surgical intensive care unit and to improve the accuracy of MARSI preventive care implementation.
Resolutions:
The intervention included the implementation of product-use cards, high-risk warning slogans, education programs, experience workshops, and a standard prevention-care protocol for MARSI.
Results:
After project implementation, the incidence rate of MARSI decreased from 18.2% to 0%-9.3%, and the accuracy rate of preventive care increased from 38.6% to 95.5%.
Conclusions:
This project effectively reduced the incidence of skin injury and improved the quality of critical care. The skills related to the care and prevention of MARSI have been implemented throughout the hospital.
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