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. 2023 Nov;118(5):306-320.
doi: 10.1002/aorn.14021.

Evaluation of an Evidence-Based Care Bundle for Preventing Hospital-Acquired Pressure Injuries in High-Risk Surgical Patients

Fazila Binte Abu Bakar Aloweni, Siew Hoon Lim, Nur Liyana Binte Agus, Shin Yuh Ang, Meh Meh Goh, Patricia Yong, Stephanie Fook-Chong, Lisa Tucker-Kellogg, Chai Rick Soh

Evaluation of an Evidence-Based Care Bundle for Preventing Hospital-Acquired Pressure Injuries in High-Risk Surgical Patients

Fazila Binte Abu Bakar Aloweni et al. AORN J. 2023 Nov.

Abstract

The aim of this study was to evaluate the effectiveness of an evidence-based care bundle to prevent perioperative pressure injuries. In a single facility, using a preintervention and postintervention quasi-experimental design, we compared the pressure injury incidence rate for two patient groups (ie, before and after care bundle implementation). The bundle included a variety of elements, such as educating patients, applying protection, controlling skin moisture, and using pressure-relieving devices according to the patient's risk. Before the intervention, patients received standard care before procedures that did not address risk for pressure injury development. The study involved a total of 944 patients, and the incidence of pressure injury was lower in the postintervention group than in the preintervention group (1.6% versus 4.8%; P < .001). However, the odds ratio was nonsignificant and therefore the clinical relevance of the bundle is unclear. Additional research with a control group and multiple sites is needed.

Keywords: alternating air mattress; care bundle; hospital-acquired pressure injury (HAPI); risk assessment; silicone foam dressing.

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References

REFERENCES

    1. Guideline for prevention of perioperative pressure injury. In: Guidelines for Perioperative Practice. Denver, CO: AORN, Inc; 2023:751-776.
    1. Rondinelli J, Zuniga S, Kipnis P, Kawar LN, Liu V, Escobar GJ. Hospital-acquired pressure injury: risk-adjusted comparisons in an integrated healthcare delivery system. Nurs Res. 2018;67(1):16-25. https://doi.org/10.1097/nnr.0000000000000258
    1. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Haesler E, ed. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. 3rd ed. EPUAP/NPIAP/PPPIA; 2019.
    1. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system. Revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016;43(6):585-597. https://doi.org/10.1097/won.0000000000000281
    1. Lopes CM, Haas VJ, Dantas RAS, de Oliveira CG. Galvão CM. Assessment scale of risk for surgical positioning injuries. Rev Lat Am Enfermagem. 2016;24:e2704. https://doi.org/10.1590/1518-8345.0644.2704

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