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Pressure injury prevention in adult critically ill patients: best practice implementation project
Aline de Oliveira Ramalho1,2, Leidiane Moreira Santiago1,3, Luciana Meira1
1Sociedade Beneficente de Senhoras Hospital Sírio-Libanês.
Insights
Implementing best practices for pressure injury prevention in intensive care units (ICUs) significantly reduced pressure injury prevalence by 50%. Audits and feedback improved adherence to evidence-based protocols for patient care.
Area of Science:
- Critical Care Medicine
- Evidence-Based Healthcare
- Patient Safety
Background:
- Intensive care unit (ICU) patients face a high risk of developing pressure injuries.
- Effective prevention necessitates adherence to established best practice protocols.
Purpose of the Study:
- To evaluate compliance with best practices for pressure injury prevention in an ICU setting.
- To assess the impact of a best practice implementation project on pressure injury rates.
Main Methods:
- A three-phase project utilized the JBI Model of Evidence-based Healthcare.
- Ten evidence-based criteria for pressure injury prevention were audited pre- and post-implementation.
- Data collected via monitoring cameras and medical records for 28 patients at each audit stage.
Main Results:
- Compliance with all 10 audited criteria showed improvement.
- A 50% reduction in pressure injury prevalence was observed.
- While 71% of staff reported knowledge, only 66% felt adherent to protocols.
Conclusions:
- The audit and feedback strategy effectively enhanced compliance with pressure injury prevention criteria.
- Sustained adherence to evidence-based practices requires ongoing monitoring and future audits.
Objective:
This study assessed compliance with the best practices for pressure injury prevention among ICU patients at a tertiary hospital in São Paulo, Brazil.
Introduction:
Intensive care patients are at high risk of developing a pressure injury; preventing this requires a best practice protocol.
Method:
This best practice implementation project was conducted in a Brazilian tertiary hospital in three phases following the JBI Model of Evidence-based Healthcare. Ten criteria derived from the best available evidence were audited and monitored before and after best practice implementation.
Results:
The baseline and follow-up audits evaluated 28 patients at each step. A total of 448 h of care were analyzed using a monitoring camera and medical records. Compliance with all 10 audited criteria increased, with a 50% reduction in the prevalence of pressure injuries in intensive care. Of the 223 employees, 71% claimed to have some knowledge of pressure injury prevention, and 66% reported adequate adherence to prevention protocols.
Conclusion:
The audit and feedback strategy improved compliance with the criteria. Future audits are needed to promote the sustainability of evidence-based practice.
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Preparation: