Pressure Ulcer Collaborative - Nursing Showcase Presentation
The document discusses a pressure ulcer collaborative involving 22 participating sites in Dublin North-East. The collaborative aims to reduce avoidable pressure ulcers by 50% through a team-based approach that empowers frontline staff. Pressure ulcers cause great pain and suffering for patients and are expensive to treat, costing up to £2.1 billion annually in the UK. Data shows that pressure ulcer rates in Ireland average 16% prevalence and 11% incidence. The collaborative promotes use of the SSKIN care bundle to standardize preventative care and reduce differing practices. Early data indicates the collaborative has reduced pressure ulcer incidence by 73% in pilot sites and lowered prevalence and incidence rates in older adult settings between 2007-2013.
Pressure Ulcer Collaborative - Nursing Showcase Presentation
- 1. Pressure Ulcer Collaborative Maree Barry RGN, HDipTissue Viability, PG:PEPPD, RNP St Mary’s Hospital, Phoenix Park
- 2. Pressure Ulcer Collaborative •Quality and Patient Safety Division, HSE and RCPI •Collaborative approach – key focus on teamwork empower and energise frontline staff and this will in turn improve quality of care •22 participating sites in Dublin North-East •Reduce the number of avoidable pressure ulcers by 50%
- 5. Pressure Ulcer Collaborative • Pressure Ulcers cause great pain and suffering and impact negatively on quality of life Gorecki et al (2009), Hopkins et al (2006) • The incidence and severity of preventable pressure ulcers is a key indicator of quality of care Benbow and Bateman (2012)
- 6. Pressure Ulcer Collaborative • Expensive to treat: 4% of the total NHS budget on treatment of pressure ulcers £1.4 million – £2.1billion annually Bennet et al (2004) • Estimated cost of treating one person with a grade 4 pressure ulcer in Ireland is 119,000 Annual estimate therefore 250 million to manage pressure ulcers in all healthcare settings in Ireland Getchin et al (2005)
- 7. Pressure Ulcer Collaborative • Majority of pressure ulcers are preventable • Pressure ulcers are a major healthcare problem • Occur in all healthcare settings Beeckman 2014
- 8. Pressure Ulcer Collaborative Mean pressure ulcer prevalence rates in Ireland 16% (4-37%), 6 studies Mean pressure ulcer incidence rates in Ireland 11% (8 – 14%), 4 studies Moore et al (2013)
- 9. Pressure Ulcer Collaborative SSKIN care bundle Skin Surface Keep moving Incontinence Nutrition •SSKIN care bundle is a powerful tool as it defines and ties best practices together in pressure ulcer prevention and helps to reduce differing care practices •Delivering all elements of the sskin care bundle will help improve pressure ulcer preventative care thus improve care outcomes
- 10. Pressure Ulcer Collaborative Important to measure Safety Cross
- 11. Pressure Ulcer Collaborative SSKIN care bundle compliance data
- 12. Pressure Ulcer Collaborative Pressure ulcer incidence reduced by 73% within pilot sites
- 13. Pressure Ulcer Collaborative Prevalence of pressure ulcers in an older adults setting 2007-2013 Reduction of 4.6% to 2.3%
- 14. Pressure Ulcer Collaborative Incidence of pressure ulcers in an older adults setting 2007-2013 Reduction of 18% in 2007 to 6.6%
- 15. Pressure Ulcer Collaborative Number of hospital acquired grade/category 4 pressure ulcers in older adult setting 2007 – 2013 5.6% in 2007 to 0.3% in 2013.
- 16. Thank You