Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility: A Quality Improvement Project.
Mil Med
; 189(Suppl 1): 51-56, 2023 11 10.
Article
in En
| MEDLINE
| ID: mdl-37956330
ABSTRACT
INTRODUCTION:
The incidence of perioperative pressure injuries (PPIs) at a military medical treatment facility (MTF) increased from three PPI events in 2018 to five PPI events in the first half of 2019. The purpose of this quality improvement initiative was to determine whether an evidence-based PPI prevention program introduced during the second half of 2019 reduced pressure injuries compared to the previous 1.5 years that followed the standard of care for perioperative patient positioning.METHODS:
We used a multidisciplinary quality improvement PPI prevention approach that included education, Scott Triggers® patient risk assessment, application of a five-layer silicone dressing to at-risk surgical position sites, and feedback via multidisciplinary postoperative rounding.RESULTS:
There was an observed decrease in the rate of PPIs from 0.62 to 0.00 per 1,000 patient surgeries during the 26-month period that this protocol was implemented.CONCLUSION:
This project was conducted at a major MTF using a multidisciplinary PPI prevention approach that may be of value in reducing PPIs in other settings. This approach seems worthy of further investigation and may be applicable to other military MTFs and in deployed settings.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pressure Ulcer
/
Military Personnel
Limits:
Humans
Language:
En
Journal:
Mil Med
Year:
2023
Document type:
Article
Affiliation country:
United States