Reducing hospital-acquired pressure injuries and the cost of prevention in the OR and ICU setting

Abstract

Introduction
Prevention of hospital-acquired pressure ulcers/injuries (HAPU/I) has become an important nursing quality measure in the US with surgical patients, accountable for 45% of HAPU/Is, among those at greatest risk.

Assessment of the problem
In an effort to further reduce HAPU/Is at a 1400-bed quaternary-care medical center in the Midwestern United States, the WOC Nurses conducted an assessment to identify where HAPU/Is originated. A review of benchmarking data revealed that a large number of HAPU/Is were attributed to the operating room. Therefore, the WOC Nurses and the heart and vascular operating room nursing personnel reviewed relevant literature, possible areas of care that could be impacted and time needed to implement change.