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Implementing a Quality Improvement Project to Reduce Incidents of Hospital-Acquired Pressure Injury
Saqer Al Mualla1, Noura Salim, Salma Saeed
1At Qassimi Hospital, Sharjah, United Arab Emirates, Saqer Al Mualla, PhD, is Consultant Plastic Surgeon, Head of Plastic and Regenerative Center; Noura Salim, IIWCC, MSc, is Head of Regenerative and Research Center Unit, Wound and Hyperbaric Physician; Salma Saeed, IIWCC, MSc, is Wound and Hyperbaric Physician; and Nasreen Abdelatif Khalid, IWCC, MSc, and Shiby Varghese, RN, IIWCC, BSN, are Wound/Tissue Viability Specialist Nurse.
Objective:
A quality improvement project (QIP) was implemented in 2021 at Al Qassimi Hospital in Sharjah, United Arab Emirates, to decrease the incidence of hospital-acquired pressure injuries (HAPIs).
Methods:
A FOCUS PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, and Act) methodology was used to reduce the HAPI rate, understand the source of variation, and select improvement measures. A protocol for PI assessment and prevention was developed and implemented. A multidisciplinary team was involved, and several educational sessions were conducted. The PIs per 1000 patient days were monitored monthly.
Results:
The HAPI rate dropped from an average of 3.4/1000 patient days during the 3 months preintervention period to an average of 1.7/1000 patient days in the first 9 months following the QIP. During 2022 and 2023, the HAPI rate decreased to an average of 0.9 and 0.8 patient days, respectively.
Conclusions:
The QIP reduced the incidence of HAPIs by 75% in 2023. Staff involvement and a multidisciplinary team were essential to the success of the project. For patients, the reduction of PI risk resulted in a better quality of life and shorter hospitalizations.
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