Pressure injuries (PIs) cause negative physical, emotional, and economical effects on the lives of patients who acquire them. PI incidence and prevalence studies conducted in 2012, at a mid-sized urban, teaching hospital revealed that 69% of patients who developed a hospital acquired pressure injury (HAPI) had a surgical experience during their hospitalization. Discussion with staff and review of current practice revealed no consistently applied perioperative pressure injury risk assessment or prevention interventions for at risk patients. A root cause analysis identified common risk indicators among these patients, which were compared with information reported in the literature. Using this information a perioperative pressure injury risk assessment measure was created. Applying it to a retrospective random sample of 350 surgical patients validated the tool. The measure, along with associated prevention strategies, was then applied prospectively to a sample of 350 surgical patients resulting in a 60% decrease in HAPI’s.
MSN, RN, CWON,
Professional Development Specialist,
Cleveland Clinic Akron General