Abstract

To identify and analyze the scientific evidence regarding the occurrence of Medical Device-Related Pressure Injuries, considering the development sites; and to describe the devices of risk and the measures of prevention and treatment. Integrative, search-based review: CINAHL, PubMed, Wiley InterScience, Scopus, and Web Of Science. The terms "pressure ulcer" and "medical devices" were used, including original articles and case studies published between 2010 and 2015. Nine studies were selected. Posterior cervical region and nose had the highest injury frequencies, respectively, 66.0% and 40.0%. Eleven risk devices were identified, with emphasis on Non-Invasive Ventilation masks and orotracheal tube. For prevention and treatment emerged recommendations specific to the device employed and general measures. Medical Device-Related Pressure Injuries are frequent problems, however, they can be prevented and treated based on the recommendations of the articles raised in this review.

Highlights

  • Patient safety and quality of health care are themes that are gaining prominence on the world stage

  • An international initiative worthy of mention is the global alliance for patient safety, established in 2004 by the World Health Organization, whose mission is to coordinate, disseminate and accelerate improvements related to the theme[1]

  • Committed to this mission, the Brazilian Ministry of Health launched in 2013 the Brazilian National Patient Safety Program (PNSP - Programa Nacional de Segurança do Paciente), which provides, among other strategies, the elaboration and implementation of protocols, guides and manuals for the prevention of Pressure injury (PI)(2)

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Summary

Introduction

Patient safety and quality of health care are themes that are gaining prominence on the world stage. An international initiative worthy of mention is the global alliance for patient safety, established in 2004 by the World Health Organization, whose mission is to coordinate, disseminate and accelerate improvements related to the theme[1]. Committed to this mission, the Brazilian Ministry of Health launched in 2013 the Brazilian National Patient Safety Program (PNSP - Programa Nacional de Segurança do Paciente), which provides, among other strategies, the elaboration and implementation of protocols, guides and manuals for the prevention of Pressure injury (PI)(2). Tolerance of soft tissue under pressure and shear can be affected by microclimate, nutrition, perfusion, comorbidities and condition of the tissue itself[3]

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