Preventing hospital-acquired pressure ulcers

Cherry, Cecile; Moss, Jacqueline; Maloney, Martin; Midyette, Paula

doi:10.1097/01.ccn.0000418819.29228.63

Cited by 4 publications

(9 citation statements)

References 7 publications

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“…Slough or eschar may be on some of the wound bed and there may be undermining or tunneling. The last stage is called unstageable and is full-thickness tissue loss which is covered by slough and/or eschar (Cherry et al, 2012). These unstageable pressure ulcers cannot be staged because it is unknown how deep the tissue damage is under the slough and/or eschar.…”

Section: Definition Risk Factors and Stagingmentioning

confidence: 99%

“…Hospital-acquired Stage III and IV pressure ulcers are identified as "never events" by the Centers for Medicare and Medicaid Services (CMS), which no longer reimburse hospitals for the costs of caring for those HAPUs (Cherry, Moss, Maloney, & Midyette, 2012). Additionally, Medicare provides an additional payment, a Medicare Severity-Diagnosis Related Group (MS-DRG), for the care of more severe pressure ulcers that were present on admission.…”

Section: Background/statement Of the Problemmentioning

confidence: 99%

“…Hospital-acquired Stage III and IV pressure ulcers are identified as "never events" by CMS, which no longer reimburses hospitals for the costs of caring for those HAPUs (Cherry et al, 2012). The Centers for Medicare & Medicaid Services made changes to reimbursement policies in 2007 (Mackintosh et al, 2014).…”

Section: Reimbursementmentioning

confidence: 99%

“…One of the most important interventions for immobile patients is repositioning the patient on a regular schedule of at least every two hours (Cherry et al, 2012). Heel pressure ulcers are a common complication experienced by patients who are immobile in intensive care units (Meyers, 2010).…”

Section: Prevention and Treatmentmentioning

confidence: 99%

“…The use of low-friction slide sheets and air-assisted transfer devices reduce the risk of skin injuries that are caused by friction and shearing forces (Cherry et al, 2012).…”

Section: Prevention and Treatmentmentioning

confidence: 99%

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Pressure Ulcer Assessment and Documentation

Ruggiero

2015

Preprint

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Assessment and Documentation Pocket Guide to assess patients during the monthly meeting and then completed an evaluation. The guide was evaluated as being valuable in assessing and documenting pressure ulcers and it was recommended for distribution to staff nurses. Use of the tool has the potential to improve assessment, identification, and documentation of pressure ulcers. Implications for advanced practice are discussed. Acknowledgements

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Section: Definition Risk Factors and Stagingmentioning

confidence: 99%

Section: Background/statement Of the Problemmentioning

confidence: 99%

Section: Reimbursementmentioning

confidence: 99%

Section: Prevention and Treatmentmentioning

confidence: 99%

“…The use of low-friction slide sheets and air-assisted transfer devices reduce the risk of skin injuries that are caused by friction and shearing forces (Cherry et al, 2012).…”

Section: Prevention and Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Pressure Ulcer Assessment and Documentation

Ruggiero

2015

Preprint

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Guidelines in Practice: Prevention of Perioperative Pressure Injury

Speth¹

2023

AORN Journal

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Immobility and lack of sensation during perioperative procedures increase the risk of patients developing pressure injuries (PIs). Such injuries can cause pain and result in serious infections, thereby leading to increased health care costs. The recently developed AORN “Guideline for prevention of perioperative pressure injury” provides perioperative nurses and leaders with applicable recommendations for preventing these injuries. In addition to a brief overview of a health care facility's interdisciplinary perioperative PI prevention program, this article discusses a variety of concepts related to PI prevention, including prophylactic materials, intraoperative considerations, hand‐over communication, pediatric patient concerns, policies and procedures, quality management, and education. It also provides a pediatric patient–specific scenario that illustrates the implementation of the described recommendations. Perioperative nurses and leaders should review the guideline in its entirety and apply the recommendations to prevent PIs as appropriate for their facility and patient population.

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Relationship between predisposing and facilitating factors: Does it influence the risk of developing peri‐operative pressure injuries?

Weng

Lin

Seo

et al. 2022

International Wound Journal

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This study examined the relationship between the personal predisposing factors of patients and the severity of pressure injuries (PIs) developed during surgery. This retrospective cohort study collected 439 cases of peri‐operative PIs. Using binary logistic regression to identify the variables associated with PI severity, the effects of interactions between associated variables were then tested. The results of this study revealed that among the personal predisposing factors, only higher patient age (P = .001) and higher body mass index (P < .001) posed a greater risk of stage 2 PIs or higher. Among the surgery‐related facilitating factors, only patients who were placed in the prone position during surgery and patients who lost ≥1000 mL of blood during surgery were at greater risk of stage 2 PIs or higher, compared, respectively, to those placed in the supine position and those who lost ≤100 mL of blood. Furthermore, the amount of blood lost during surgery moderated the influence of age on PI severity. For elderly patients who are expected to lose a large blood volume during surgery or lose an immeasurable amount of blood due to the use of cardiopulmonary bypass, taking more precautionary measures to prevent PIs is recommended.

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Preventing hospital-acquired pressure ulcers

Cited by 4 publications

References 7 publications

Pressure Ulcer Assessment and Documentation

Pressure Ulcer Assessment and Documentation

Guidelines in Practice: Prevention of Perioperative Pressure Injury

Relationship between predisposing and facilitating factors: Does it influence the risk of developing peri‐operative pressure injuries?

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