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Documentation in Long-Term and Home Healthcare Setting

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Implementing the SSKIN Bundle in Home Healthcare: A Tool Tutorial for Reducing Pressure Injuries.

Mohammed Aldhoun, Maryam Ali K M Al Tamimi, Hanadi Al Hamad

    Joint Commission Journal on Quality and Patient Safety
    |June 30, 2026
    PubMed
    Summary
    This summary is machine-generated.

    Implementing the SSKIN bundle in home healthcare significantly reduced pressure injury incidence by 29%. This evidence-based approach, including staff training and caregiver education, offers a replicable model for community settings.

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    Area of Science:

    • Healthcare Management
    • Patient Safety
    • Nursing Practice

    Background:

    • Pressure injuries are a significant, preventable harm in home healthcare.
    • Inconsistent prevention strategies and variable caregiver support contribute to high incidence.
    • The SSKIN bundle was developed to standardize pressure injury prevention in home care.

    Purpose of the Study:

    • To implement and evaluate the SSKIN bundle (Support surfaces, Skin inspection, Keep moving, Incontinence management, Nutrition) in home healthcare.
    • To provide a replicable toolkit for pressure injury prevention in community settings.
    • To reduce pressure injury incidence through a standardized, evidence-based intervention.

    Main Methods:

    • The SSKIN bundle was implemented across Qatar's Home Healthcare Services.
    • Intervention included training for 110 nursing staff and culturally adapted educational materials for caregivers.
    • Standardized risk assessment (Braden Scale) and referral pathways were established.

    Main Results:

    • Monthly pressure injury incidence decreased by 29%, from 0.48% to 0.34% over three years.
    • Nursing staff compliance with SSKIN documentation exceeded 97% postimplementation.
    • A statistically significant reduction in median monthly incidence was observed.

    Conclusions:

    • Systematic SSKIN bundle implementation effectively reduces pressure injury incidence in home healthcare.
    • Comprehensive staff education, culturally adapted materials, and standardized documentation are key to success.
    • The toolkit offers replicable resources for organizations aiming to improve pressure injury prevention in community settings.