Reduction in the incidence of pressure ulcers upon implementation of a reminder system for health-care providers

Viana, Tomás Sebastián; Iglesias, Marta Elena Losa; González-Ruiz, José María; Lema-Lorenzo, I.; Núñez-Crespo, F.; Fuentes, Paloma Salvadores; team, Arce

doi:10.1016/j.apnr.2015.05.018

Cited by 13 publications

(26 citation statements)

References 15 publications

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“…The most common study design was RCTs ( n = 6). Regarding the PU preventive interventions, most of the featured studies focused on support surfaces, health professional's education, multiple intervention programmes, repositioning and early mobilisation, preventive skincare, prophylactic dressings, remind systems on patient care plan, and risk‐assessment tools . According to the care setting where the studies were carried out, most of them ( n = 17) were developed in intensive care units (ICU) followed by medicine ( n = 6), geriatrics ( n = 2), surgical ( n = 2), orthopaedics ( n = 2), oncology ( n = 1), rehabilitative ( n = 1), community hospital ( n = 1), and other specific units ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

“…Gaps between recommend practice and daily routine care are known and given the challenge of changing the behaviour of health care staff, reminders in patient plan care on a screen computer are a promising strategy for better patient outcomes . A list of screen reminder at the beginning of a health shift and a reminder to alert which patients are at risk of PU development was effective in decreasing the incidence of PUs…”

Section: Resultsmentioning

confidence: 99%

“…As stated in many recommendations of care for the prevention of PUs, identifying the patients developing PUs can facilitate health professionals to adopt adequate preventive measures and monitoring protocols to decrease PU incidence . A list of on‐screen reminders (date of admission, the last assessment of PU risk, the status of current PUs, and the last recorded location, and extent of PUs) effectively decreases the cumulative incidence of PUs . New strategies need to be researched to effectively decrease the occurrence of complex worldwide problems such as PUs.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on‐screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure‐mapping feedback or by a patient positioning system. Risk‐assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence‐based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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“…For this reason, large multicenter ICU studies, incorporating an experimental design with evidence-based interventions, such as care bundles, including the Braden scale, multidisciplinary teams, evidencebased protocols, and clinical education, need to be undertaken to advance the HAPU science. These studies not only need to report prevalence and patient outcome data, but also explore the benefits afforded by technology to minimize the context of burdensome clinical workload with reliable reminders about ulcer care [109]. Finally, new studies need to focus on data mining in data-rich health systems to develop predictive models to compliment risk assessments, such as the Braden scale, to reduce HAPUs in targeted populations [110].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Care Bundles Including the Braden Scale for Preventing Hospital Acquired Pressure Ulcers in Older Adults Hospitalized in ICUs: A Systematic Review

Floyd¹,

Domínguez-Cancino²,

Butler³

et al. 2021

TONURSJ

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Background: Despite technological and scientific advances, Hospital Acquired Pressure Ulcers (HAPUs) remain a common, expensive, but preventable adverse event. The global prevalence ranges from 9% to 53% while three million people develop HAPUs in the United States and 60,000 people die from associated complications. HAPU prevalence is reported as high as 42% in ICUs (ICU) costing on average $48,000 to clinically manage. Objective: The purpose of this systematic review was to evaluate the effectiveness of multi-component interventions (care bundles), incorporating the Braden scale for assessment, in reducing the prevalence of HAPUs in older adults hospitalized in ICUs. Methods: This was a systematic review of the literature using the Cochrane method. A systematic search was performed in six databases (CINAHL, Cochrane Library, Google Scholar, JBI Evidence-Based Practice Database, PubMed, and ProQuest) from January 2012 until December 2018. Bias was assessed with the Critical Appraisal Skills Programme Checklist, and the quality of evidence was evaluated with the American Association of Critical-Care Nurses Levels of Evidence. Results: The search identified 453 studies for evaluation; 9 studies were reviewed. From the analysis, pressure ulcer prevention programs incorporated three strategies: 1) Evidence-based care bundles with risk assessments upon admission to the ICU; 2) Unit-based skincare expertise; and 3) Staff education with auditing feedback. Common clinical management processes included in the care bundles were frequent risk reassessments, daily skin inspections, moisture removal treatments, nutritional and hydration support, offloading pressure techniques, and protective surface protocols. The Braden scale was an effective risk assessment for the ICU. Through early risk identification and preventative strategies, HAPU programs resulted in prevalence reduction, less severe ulcers, and reduced care costs. Conclusion: Older adults hospitalized in the ICU are most vulnerable to developing HAPUs. Early and accurate identification of risk factors for pressure is essential for prevention. Care bundles with three to five evidence-based interventions, and risk assessment with the Braden scale, were effective in preventing HAPUs in older adults hospitalized in intensive care settings. Higher quality evidence is essential to better understanding the impact of HAPU prevention programs using care bundles with risk assessments on patient outcomes and financial results.

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“…Recently, Sebastián-Viana et al proposed a new reminder system to improve patients follow up and reduce the risks of developing a bad health situation. The new system alerts healthcare professionals about the health status of patients who suffer from pressure ulcer [14]. The results of the study showed that the system was effective at reducing the risks of developing a pressure ulcer [14].…”

Section: A Examples Of E-health Systemsmentioning

confidence: 99%

Evaluating EHR and Health Care in Jordan According to the International Health Metrics Network (HMN) Framework and Standards: A Case Study of Hakeem

Klaib

Nuser

2019

IEEE Access

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Hakeem is one of the e-health systems that were implemented in Jordan to support the health care and services of medical sectors by connecting public health hospitals all around Jordan. This paper was carried out as a unique and first study to investigate the effectiveness of Hakeem health system according to the international health information systems standards. The health metrics network (HMN) framework and standards for country health information systems are used to measure the Hakeem system from different perspectives to ensure that it meets its objectives to maintain the required level of medical services in Jordan compared to international systems. The study was conducted on 522 respondents of Hakeem system users from four hospitals and ten health centers in Jordan. Data were collected by a valid and reliable questionnaire and interviews and analyzed by SPSS software. The study results indicated that the conformity extent of Hakeem system's components with HMN framework and standards are in different agreements percentages. Some components are with acceptable percentages such as the integration polices and data processing while other components are with moderate, low, and very lower percentages that needed improvements. In light of the results, the study introduces some recommendations to improve Hakeem systems such as improving the technical support of the entire system and the services used in the pharmacy unit. INDEX TERMS E-health, electronic health record, Hakeem system, HMN framework, Jordan, national strategy of health sector, world health organization.

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Reduction in the incidence of pressure ulcers upon implementation of a reminder system for health-care providers

Cited by 13 publications

References 15 publications

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

The Effectiveness of Care Bundles Including the Braden Scale for Preventing Hospital Acquired Pressure Ulcers in Older Adults Hospitalized in ICUs: A Systematic Review

Evaluating EHR and Health Care in Jordan According to the International Health Metrics Network (HMN) Framework and Standards: A Case Study of Hakeem

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