Preventing Medical Device-Related Pressure Injuries

Abstract

Pressure injuries (PIs) are a common, yet preventable complication of patient care. 1 Dang W Liu Y Zhou Q et al. Risk factors of medical device-related pressure injury in intensive care units. J Clin Nurs. 2022; 31: 1174-1183https://doi.org/10.1111/jocn.15974 Crossref Scopus (14) Google Scholar ,2 Hajhosseini B Longaker MT Gurtner GC Pressure injury. Ann Surg. 2020; 271: 671-679https://doi.org/10.1097/sla.0000000000003567 Crossref PubMed Scopus (0) Google Scholar Regulatory, quality, and health care bodies view the frequency of hospital-acquired pressure injuries (HAPIs) as indicative of the quality of nursing care and take the issue of HAPIs very seriously in terms of patient safety. 3 Pittman J Otts JA Riley B Mulekar MS Pressure injury prevention and management: a gap analysis using key stakeholder engagement. J Wound Ostomy Continence Nurs. 2022; 49: 416-427https://doi.org/10.1097/WON.0000000000000906 Crossref Scopus (0) Google Scholar Every year, approximately 2.5 million people develop HAPIs, and approximately 60,000 people die as a result of these injuries. 3 Pittman J Otts JA Riley B Mulekar MS Pressure injury prevention and management: a gap analysis using key stakeholder engagement. J Wound Ostomy Continence Nurs. 2022; 49: 416-427https://doi.org/10.1097/WON.0000000000000906 Crossref Scopus (0) Google Scholar ,4 Padula WV Delarmente BA The national cost of hospital-acquired pressure injuries in the United States. Int Wound J. 2019; 16: 634-640https://doi.org/10.1111/iwj.13071 Crossref PubMed Scopus (207) Google Scholar The total cost of HAPI care per patient ranges from $29,900 to $151,700, resulting in an estimated annual cost of $26.8 billion. 3 Pittman J Otts JA Riley B Mulekar MS Pressure injury prevention and management: a gap analysis using key stakeholder engagement. J Wound Ostomy Continence Nurs. 2022; 49: 416-427https://doi.org/10.1097/WON.0000000000000906 Crossref Scopus (0) Google Scholar ,5 Tschannen D Anderson C The pressure injury predictive model: a framework for hospital-acquired pressure injuries. J Clin Nurs. 2020; 29: 1398-1421https://doi.org/10.1111/jocn.15171 Crossref Scopus (14) Google Scholar Despite the introduction of new technology and HAPI prevention strategies, the occurrence of HAPI is still on the rise. 2 Hajhosseini B Longaker MT Gurtner GC Pressure injury. Ann Surg. 2020; 271: 671-679https://doi.org/10.1097/sla.0000000000003567 Crossref PubMed Scopus (0) Google Scholar ,3 Pittman J Otts JA Riley B Mulekar MS Pressure injury prevention and management: a gap analysis using key stakeholder engagement. J Wound Ostomy Continence Nurs. 2022; 49: 416-427https://doi.org/10.1097/WON.0000000000000906 Crossref Scopus (0) Google Scholar People suffering from this injury can experience severe discomfort, a decrease in their overall quality of life, reduced activity, decreased productivity, social alienation, depression, and increased length of stay. 2 Hajhosseini B Longaker MT Gurtner GC Pressure injury. Ann Surg. 2020; 271: 671-679https://doi.org/10.1097/sla.0000000000003567 Crossref PubMed Scopus (0) Google Scholar