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Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility: A Quality Improvement
Kenneth Romito1, Laura A Talbot2, E Jeffrey Metter2
1Graduate School of Nursing, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Military Medicine
|November 13, 2023
Summary
A quality improvement initiative successfully reduced perioperative pressure injuries (PPIs) in a military medical setting. The evidence-based PPI prevention program led to a significant decrease in injury rates, demonstrating its effectiveness.
Area of Science:
- Quality Improvement Science
- Patient Safety
- Surgical Care
Background:
- Perioperative pressure injuries (PPIs) present a significant challenge in healthcare settings.
- An observed increase in PPI incidence at a military medical treatment facility (MTF) prompted this quality improvement initiative.
Purpose of the Study:
- To evaluate the effectiveness of an evidence-based PPI prevention program in reducing pressure injuries.
- To compare PPI rates before and after the program's implementation.
Main Methods:
- A multidisciplinary approach was employed, including education, risk assessment using Scott Triggers®, silicone dressing application, and feedback through postoperative rounding.
- The program was implemented over a 26-month period at a major MTF.
Main Results:
- A notable decrease in PPIs was observed, with rates falling from 0.62 to 0.00 per 1,000 patient surgeries.
- The implemented protocol demonstrated a significant reduction in pressure injury incidence.
Conclusions:
- The multidisciplinary PPI prevention program proved effective in reducing pressure injuries within a military MTF.
- This approach shows promise for reducing PPIs in other healthcare settings, including deployed environments, and warrants further investigation.
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