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An Interdisciplinary Team Approach to Decrease Sacral Hospital-acquired Pressure Injuries: A Retrospective Cohort

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Hospital-acquired pressure injuries (HAPIs) are common. A multi-faceted intervention significantly reduced sacral HAPIs, demonstrating the effectiveness of interdisciplinary care in preventing these adverse events.

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Nursing Research

Background:

  • Hospital-acquired pressure injuries (HAPIs) of the sacrum are a significant iatrogenic complication in healthcare settings.
  • Multi-intervention strategies have demonstrated efficacy in reducing the prevalence of pressure injuries.

Purpose of the Study:

  • To evaluate the impact of a comprehensive, interdisciplinary intervention on the annual incidence of sacral HAPIs.
  • To compare sacral HAPI rates before and after the implementation of a quality improvement initiative.

Main Methods:

  • A retrospective analysis of patient data from 2010 to 2017 at North Shore University Hospital.
  • Implementation of a 3-pronged intervention in 2012: interdisciplinary team, enhanced nursing education, and quality data reporting.
  • Comparison of sacral HAPI incidence and patient variables pre- and post-intervention.

Main Results:

  • Pre-intervention sacral HAPI incidence averaged 0.31% (2010-2011).
  • Post-intervention sacral HAPI incidence significantly decreased to an average of 0.019% (2013-2017) (P < .001).
  • Significant differences observed in race, length of stay, and HAPI stage between pre- and post-intervention groups.

Conclusions:

  • A hospital-wide, multi-component, interdisciplinary intervention effectively reduced sacral HAPI incidence.
  • The intervention led to a sustained and statistically significant decrease in hospital-acquired pressure injuries.
  • This study highlights the importance of integrated care approaches in enhancing patient safety and preventing HAPIs.