The effectiveness of pressure ulcer prevention programme: A comparative study

Int Wound J. 2020 Feb;17(1):214-219. doi: 10.1111/iwj.13259. Epub 2019 Nov 6.

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.

Keywords: bed sores; close monitoring for skin; patient education; pressure ulcer; prevention programme; prevention strategy; quality improvement; staff.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / education*
  • Female
  • Health Personnel / education*
  • Health Promotion / methods*
  • Health Promotion / statistics & numerical data
  • Humans
  • Iatrogenic Disease / prevention & control*
  • Male
  • Middle Aged
  • Patient Education as Topic / methods*
  • Practice Guidelines as Topic*
  • Pressure Ulcer / prevention & control*
  • Preventive Medicine / standards*
  • Preventive Medicine / statistics & numerical data
  • Retrospective Studies
  • Saudi Arabia