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Related Experiment Video

Updated: Nov 15, 2025

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Adding a Visual Communication Tool to the Electronic Health Record to Prevent Pressure Injuries.

Sharon Bouyer-Ferullo, Charlene O'Connor, Ellen Kinnealey

    AORN Journal
    |March 1, 2021
    PubMed
    Summary

    Hospital-acquired pressure injuries are preventable. An annotated image (AI) of intraoperative positioning improved nursing awareness and communication, aiding in preventing postoperative skin breakdown in surgical patients.

    Keywords:
    electronic health record (EHR)hospital-acquired pressure injury (HAPI)never eventpatient positioningperioperative documentation

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    Area of Science:

    • Nursing
    • Patient Safety
    • Surgical Care

    Background:

    • Hospital-acquired pressure injuries (HAPIs) are never events, leading to financial penalties for healthcare organizations.
    • Perioperative patients face a significant risk of developing pressure injuries post-surgery, potentially manifesting days later.

    Purpose of the Study:

    • To enhance awareness among inpatient nursing and healthcare professionals regarding potential skin breakdown areas after surgery.
    • To implement an annotated image (AI) tool illustrating intraoperative patient positioning to mitigate pressure injury risks.

    Main Methods:

    • A quality improvement project was conducted over one year (May 2018-May 2019).
    • The study tracked the weekly addition of the AI tool to patient records by operating room (OR) nurses.
    • Participation rates were monitored to gauge the tool's integration into clinical practice.

    Main Results:

    • The annotated image (AI) tool was added to patient records with an average participation rate of 80% to 90% among OR nurses.
    • The integration of the AI depicting surgical positioning and pressure points increased awareness of potential skin breakdown.
    • The AI served as an effective communication tool between surgical and inpatient nursing teams.

    Conclusions:

    • The annotated image (AI) is a valuable tool for improving communication and awareness regarding pressure injury prevention in the perioperative setting.
    • Utilizing visual aids like the AI can enhance interdisciplinary collaboration to prevent hospital-acquired pressure injuries.
    • This quality improvement initiative demonstrated a high level of engagement and effectiveness in addressing a critical patient safety issue.