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Related Experiment Video

Updated: Jun 2, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Reducing Respiratory Device-Related Pressure Injuries in High-Acuity Patients: A Quality Improvement Project.

Julie A Gray¹, Katie R Brooks², Amanda Eltz³

¹Julie A. Gray is a nurse practitioner, Duke University School of Nursing, Durham, North Carolina.

Critical Care Nurse

|May 31, 2026

Summary

This summary is machine-generated.

Implementing standardized barrier dressings and improving teamwork significantly reduced respiratory medical device-related pressure injuries in intensive care units. This quality improvement project achieved a 52% reduction in these injuries.

Related Experiment Videos

Last Updated: Jun 2, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Area of Science:

Medical Devices
Patient Safety
Quality Improvement

Background:

Respiratory medical device-related pressure injuries (MDRPIs) are a significant issue in acute care, especially for high-acuity patients needing respiratory support.
MDRPI rates increased post-COVID-19 pandemic in intensive care and progressive care units at a community hospital.

Purpose of the Study:

To reduce respiratory medical device-related pressure injury rates in intensive and progressive care units.
To implement and evaluate a quality improvement project using plan-do-study-act cycles.

Main Methods:

Utilized plan-do-study-act cycles for intervention implementation and monitoring.
Collected baseline data from January 2019 to June 2023, with interventions from July 2023 to March 2025.
Employed statistical process control charts to track MDRPI rates and analyzed intervention and documentation compliance.

Main Results:

Achieved a 52% reduction in respiratory MDRPI rates, decreasing from 0.56 to 0.27 per 1000 patient days.
Improved intervention compliance for barrier dressing placement from 71.7% to 97.8%.
Increased documentation compliance from 43.4% to 89.7%.

Conclusions:

Standardizing the use of preventive barrier dressings is effective in reducing MDRPIs.
Enhanced interprofessional collaboration significantly contributes to decreasing respiratory MDRPIs.
Quality improvement initiatives can successfully mitigate device-related pressure injuries in critical care settings.