Michelle Barakat-Johnson1, Catherine Barnett2, Timothy Wand3, Kathryn White4. 1. Sydney Nursing School, The University of Sydney and Sydney Local Health District, Patient Safety and Quality, Level 7, KGV, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Australia. Electronic address: Michelle.Barakat-Johnson@health.nsw.gov.au. 2. Sydney Nursing School, The University of Sydney and Sydney Local Health District, The Cancer Nursing Research Unit, Lifehouse, Missenden Road, Camperdown, Australia. Electronic address: cathy.barnett@sydney.edu.au. 3. Sydney Nursing School, The University of Sydney and Sydney Local Health District, Emergency Department, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Australia. Electronic address: tim.wand@health.nsw.gov.au. 4. Sydney Nursing School, The University of Sydney and Sydney Local Health District, The Cancer Nursing Research Unit, Lifehouse, Missenden Road, Camperdown, Australia. Electronic address: kate.white@sydney.edu.au.
Abstract
AIM: To examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital. MATERIALS AND METHODS: An exploratory descriptive study design was employed. A prospective review of all data on reported hospital-acquired pressure injuries was conducted on a weekly basis from July 2015 to August 2016. This included a patient assessment and medical record review as well as brief semi-structured interviews with nurses. RESULTS: The overall incidence of medical device-related pressure injuries was 27.9% (50/179) with the majority (68%, 34/50) occurring in intensive care. The most common cause of a medical device-related pressure injury was oxygen tubing behind ears (n = 21) and endotracheal tubes (n = 13). Nurses were unaware of the implications of medical devices in contact with the skin and patient medical records did not present a valuable source of information in relation to pressure injury prevention. CONCLUSION: Medical device-related pressure injuries were represented in 27.9% of our entire patient cohort; primarily occurring on the ear from oxygen tubing and on the mouth from endotracheal tubes in patients in intensive care. Additional support, education and monitoring for nurses at a local level on the prevention of medical device-related pressure injuries is necessary to prevent their occurrence. Furthermore, consensus on the classification and reporting of medical device-related pressure injuries is still in development, making reporting and monitoring challenging. Medical device-related pressure injuries are a continuing clinical issue that require further exploration.
AIM: To examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital. MATERIALS AND METHODS: An exploratory descriptive study design was employed. A prospective review of all data on reported hospital-acquired pressure injuries was conducted on a weekly basis from July 2015 to August 2016. This included a patient assessment and medical record review as well as brief semi-structured interviews with nurses. RESULTS: The overall incidence of medical device-related pressure injuries was 27.9% (50/179) with the majority (68%, 34/50) occurring in intensive care. The most common cause of a medical device-related pressure injury was oxygen tubing behind ears (n = 21) and endotracheal tubes (n = 13). Nurses were unaware of the implications of medical devices in contact with the skin and patient medical records did not present a valuable source of information in relation to pressure injury prevention. CONCLUSION: Medical device-related pressure injuries were represented in 27.9% of our entire patient cohort; primarily occurring on the ear from oxygen tubing and on the mouth from endotracheal tubes in patients in intensive care. Additional support, education and monitoring for nurses at a local level on the prevention of medical device-related pressure injuries is necessary to prevent their occurrence. Furthermore, consensus on the classification and reporting of medical device-related pressure injuries is still in development, making reporting and monitoring challenging. Medical device-related pressure injuries are a continuing clinical issue that require further exploration.
Authors: Jenny Alderden; Susan M Kennerly; Andrew Wilson; Jonathan Dimas; Casey McFarland; David Y Yap; Lucy Zhao; Tracey L Yap Journal: Comput Inform Nurs Date: 2022-10-01 Impact factor: 2.146