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Preventing medical adhesive-related skin injury (MARSI)
Jan Hitchcock1, David A Haigh2, Nuria Martin3
1Vascular Access Lead Nurse, Infection Prevention & Control, Imperial College Healthcare NHS Trust.
Abstract:
Medical adhesive-related skin injury (MARSI) is an overlooked and underestimated problem. While awareness of this issue is growing, it is not fully understood by health professionals in a variety of clinical settings. Medical adhesive products are often applied and removed incorrectly, which, albeit unintentionally, causes skin damage. In many cases, MARSI should be considered a preventable injury. Organisations should have processes in place to educate health professionals in acute and community facilities in preventing MARSI; these processes should include the use of products that help to prevent these injuries, including medical adhesive removers. This article will explore this topic and relate it to the most recent consensus document.
Insights
Medical adhesive-related skin injury (MARSI) is a common yet underestimated problem caused by improper use of medical adhesives. Implementing educational processes and utilizing products like adhesive removers can help prevent this avoidable skin damage.
Area of Science:
- Dermatology
- Healthcare Management
- Patient Safety
Background:
- Medical adhesive-related skin injury (MARSI) is frequently overlooked by healthcare professionals.
- Improper application and removal of medical adhesives often lead to preventable skin damage.
- Growing awareness highlights the need for better understanding and management of MARSI.
Purpose of the Study:
- To explore the issue of MARSI in clinical settings.
- To emphasize the preventable nature of MARSI.
- To discuss strategies for MARSI prevention, including product use and education, referencing recent consensus documents.
Main Methods:
- Literature review and synthesis of current understanding on MARSI.
- Analysis of clinical practices related to medical adhesive use.
- Discussion of evidence-based prevention strategies and product recommendations.
Main Results:
- MARSI is a significant problem often resulting from incorrect medical adhesive handling.
- MARSI is largely preventable with appropriate education and interventions.
- The use of specific products, such as medical adhesive removers, can mitigate MARSI.
Conclusions:
- Healthcare organizations must establish protocols for MARSI prevention education.
- Training should cover proper application/removal techniques and the use of preventative products.
- Addressing MARSI is crucial for improving patient safety and reducing healthcare-associated injuries.
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