Strategy to reduce avoidable pressure ulcers

NHS Midlands and East.
Nursing times 09/2012; 108(29):14-7.
Source: PubMed


Pressure ulcers have a detrimental effect on patient health and wellbeing and place a significant economic burden on the NHS. NHS Midlands and East, a cluster strategic health authority, has embarked on a programme of "ambitions" to ensure high-quality care and patient safety. The SHA identified the elimination of all grade 2, 3 and 4 pressure ulcers by December 2012 as its first ambition. This article discusses the methods chosen for measuring and monitoring the incidence and prevalence of pressure ulcers, and the nurse's role.

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    ABSTRACT: This article reports on the successful work undertaken within one NHS trust to reduce the incidence of pressure ulcers. The tissue viability nursing team at Medway NHS Foundation Trust devised, implemented and evaluated a strategy to reduce the incidence of pressure ulcers. This involved devising a comprehensive database, intensive monitoring using root cause analysis, writing action plans using high-impact actions (HIAs) and innovative thinking to address and reduce the incidence of pressure ulcers and staff training in the use of the SKIN acronym. This work identified pressure ulcers on the ears of patients receiving oxygen therapy as a particular problem. An evidence-based and multiprofessional strategy was devised to deal with this particular problem, which resulted in no further incidence of pressure ulcers on the ears of patients receiving oxygen therapy. The entire pressure ulcer reduction strategy was positively evaluated and proved to be sustainable.
    No preview · Article · Mar 2013 · British journal of nursing (Mark Allen Publishing)
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    ABSTRACT: Pressure ulcers (PUs), their cause and prevention have been discussed in the literature for many decades. Their prevention and management has been the core of a tissue viability nurse's daily clinical and strategic workload. The important point to acknowledge is that not all PUs can be prevented but it is believed most of them can and all preventative measures must be implemented and evaluated. Initial efforts focused on establishing a baseline of incidence and prevalence. More recently, the Department of Health has proposed that PUs could be eliminated in 95% of all NHS patients and incentivised the measurement of PUs and other harms by use of the NHS Safety Thermometer through the introduction of a new initiative. A research company was commissioned to explore which communications interventions would be effective in helping health professionals to prevent and treat PUs. A campaign was subsequently set in motion to educate and inform clinical staff on the cause and prevention of PUs.
    No preview · Article · Jun 2013 · British journal of nursing (Mark Allen Publishing)
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    No preview · Article · Aug 2014 · British journal of nursing (Mark Allen Publishing)
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