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Implementing the SSKIN Bundle in Home Healthcare: A Tool Tutorial for Reducing Pressure Injuries
Joint Commission Journal on Quality and Patient Safety
|June 30, 2026
Summary
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.
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.
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