The effectiveness of pressure ulcer prevention programme: A comparative study

Abstract

Hospital-acquired pressure ulcers (HAPUs) affect patients during hospitalisation, putting patients at risk for further complications. HAPU is one of the hospital quality indicators that require quality initiatives or programmes to minimise its occurrence and consequences. The aim of this study was to assess the effectiveness of a developed quality improvement programme in preventing HAPUs. This is a retrospective comparative study, which tracked the outcomes of pressure ulcer prevention programme (PUPP) for 5 years from 2014 to 2018. Data from 50 441 patients were collected from different units in a tertiary hospital in the eastern region of Saudi Arabia. The programme focused on building a wound care team; providing education to hospital staff, patients, and their families; and continuous data monitoring, in addition to follow-up visits after discharge. Implementation of the programme was successful showing a statistically significant reduction of HAPUs from 0.20% in 2014 to 0.06% in 2018 (P value <.001). The PUPP was effective in reducing the percentage of pressure ulcer cases. The programme can be extended and implemented in other hospitals.

Hospital‐acquired pressure ulcer incident rates among hospitals that implement an education program for staff, patients, and family caregivers inclusive of an after discharge follow‐up program in Saudi Arabia

“…A Saudi Arabian hospital system, introduced a PUPP in 2014 and outcome data were tracked for 5 years. The data were thoroughly reviewed again, focusing on the education retention effect in staff and staff culture as a partial answer to the positive results that were noted to carry through several years and also through a large inpatient growth period 1 . A further scrutiny of these exceptional results, was intended to unearth the key intervention factors to the success of this PUPP.…”

“…The data were thoroughly reviewed again, focusing on the education retention effect in staff and staff culture as a partial answer to the positive results that were noted to carry through several years and also through a large inpatient growth period. 1 A further scrutiny of these exceptional results, was intended to unearth the key intervention factors to the success of this PUPP. Performed in order to capitalise, sustain, and build upon for future quality improvement projects, it has had the authors focused on the education and discharge follow-up efforts of similar PUPPs.…”

“…Throughout, the study carried out continuous data monitoring. This retrospective comparative study indicated a reduction of PUs from 0.20% to 0.06% 1 . Of note is that the hospital PUPP initiated the use of Braden scale from the time of patient arrival to hospital, and implemented outlined guided instructions replete with applicable interventions for staff to follow .…”

“…1 Of note is that the hospital PUPP initiated the use of Braden scale from the time of patient arrival to hospital, and implemented outlined guided instructions replete with applicable interventions for staff to follow . 1 The program differed from previous research 15 in that it directly enrolled qualified patients to the trial in the emergency department (ED) and followed those patients through to the intensive care unit (ICU) until their eventual discharge. The study took in account the fact that many patients often spend extended periods of time in the ED and/or in the operating theatre.…”

“…Hospital-acquired complications (HACs) are a major problem facing health care facilities, this an almost 4-fold increase of in-patients between 2016 and 2018. 1 Therefore, arising from developing such complications as infections from medical devices like catheter-associated urinary tract infection and/or central line associated blood stream infection, hospital-acquired pressure ulcer (HAPU), pneumonia, or surgical site infection. 2 Worldwide, hospitals strive towards positive patient outcomes and maintaining a positive professional reputation all while managing costs.…”