Electronic SSKIN pathway: reducing device-related pressure ulcers

Br J Nurs. 2016 Aug 11;25(15 Suppl):S14-26. doi: 10.12968/bjon.2016.25.15.S14.

Abstract

This article describes how an interprofessional project in a London NHS Foundation Trust was undertaken to develop an intranet-based medical device-related pressure ulcer prevention and management pathway for clinical staff working across an adult critical care directorate, where life-threatening events require interventions using medical devices. The aim of this project was to improve working policies and processes to define key prevention strategies and provide clinicians with a clear, standardised approach to risk and skin assessment, equipment use, documentation and reporting clinical data using the Trust's CareVue (electronic medical records), Datix (incident reporting and risk-management tool) and eTRACE (online clinical protocol ordering) systems. The process included the development, trial and local implementation of the pathway using collaborative teamwork and the SSKIN care bundle tool. The experience of identifying issues, overcoming challenges, defining best practice and cascading SSKIN awareness training is shared.

Keywords: Education and training; Electronic records; Multidisciplinary team; Quality improvement; Risk assessment.

MeSH terms

  • Clinical Protocols
  • Computer Communication Networks
  • Critical Care*
  • Critical Pathways*
  • Electronic Health Records
  • Equipment and Supplies / adverse effects*
  • Humans
  • London
  • Organizational Policy
  • Patient Care Team*
  • Pressure Ulcer / etiology
  • Pressure Ulcer / nursing
  • Pressure Ulcer / prevention & control*
  • Risk Management
  • Skin Care / methods*
  • State Medicine