SSKIN bundle: preventing pressure damage across the health-care community.

The SSKIN bundle is an evidence-based set of interventions that help to prevent pressure damage. This article describes a scientific approach using the Model for Improvement (MFI) and a collaborative style of learning to quickly and reliably implement the SSKIN bundle across an integrated health-care organisation including primary and community care. Teams used the MFI and took a pragmatic approach to adapt the SSKIN bundle to make it fit for purpose in many different clinical settings. Quick wins, long-term gains and challenges are discussed. Ideas for future adaptations of the SSKIN bundle for use in the community are offered.