Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Weller, Carolina; Gershenzon, Esther R; Evans, Sue; Team, Victoria; McNeil, John J

doi:10.1111/iwj.12879

Cited by 28 publications

(38 citation statements)

References 52 publications

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“…There is a lack of national benchmark data available for comparison. 47 Data were collected within the first hour of presentation to the ED; therefore, any subsequent PI interventions implemented have not been accounted for. Also, participants were recruited on weekdays only and may not be a true reflection of weekly prevalence.…”

Section: Limitationsmentioning

confidence: 99%

Prevalence of pressure injury in adults presenting to the emergency department by ambulance

Fulbrook

Miles

Coyer

2019

Australian Critical Care

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Introduction: Pressure injuries are harmful, painful, and potentially preventable. Although hospital-acquired pressure injury prevalence is decreasing, it is unclear if some pressure injuries develop before hospital admission. The objective of this study was to investigate the prevalence of pressure injury in adults on arrival by ambulance to the emergency department (ED). Methods: An observational, cross-sectional descriptive study design was used. Participants (n ¼ 212) were recruited from the EDs of two Australian tertiary hospitals. Full skin inspection and pressure injury risk assessment, using Braden and Waterlow scores, were undertaken within 1 h of presentation. Results: Pressure injuries were identified in 11 of 212 participants, giving a prevalence of 5.2% at presentation. Nearly all were admitted to hospital, giving a prevalence of 7.8% at this entry point. Participants with pressure injury and those at high risk of injury were found to have spent longer in the ambulance and within the ED. During ambulance transport and in the first hour of presentation to the ED, it was rare that pressure-relieving interventions were implemented, even for those with an identified pressure injury and those at high risk. Conclusions: The results indicate that early pressure injury surveillance and risk assessment are merited at the point of presentation to the ED, so that prevention and treatment can be implemented at the earliest possible opportunity. Although it is more challenging to manage pressure injuries within the ambulance and ED, the use of pressure-relieving devices should be considered for those at greatest risk. Further research is recommended.

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Section: Limitationsmentioning

confidence: 99%

Prevalence of pressure injury in adults presenting to the emergency department by ambulance

Fulbrook

Miles

Coyer

2019

Australian Critical Care

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“…In addition to health care‐related costs, PIs have a considerable impact on individuals, including pain, odour of exudate, higher susceptibility to infection and poorer health outcomes, and reduced quality of life . The incidence of PIs is considered an indicator of overall health service quality …”

Section: Introductionmentioning

confidence: 99%

“…16 The incidence of PIs is considered an indicator of overall health service quality. [17][18][19][20] Effective prevention of PIs involves the implementation of PI risk assessment tools, procedures for alleviating pressure on areas that are at risk of tissue breakdown, regular repositioning, appropriate skin care, and optimal nutrition and hydration. 1 Although most PIs in the general population are considered preventable when correct prevention strategies are implemented, 21 PIs in palliative care patients may be unavoidable as a result of skin failure.…”

mentioning

confidence: 99%

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Team

Bouguettaya

Richards

et al. 2019

International Wound Journal

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Pressure injuries (PIs) are a common quality indicator for hospital care, and preventing PIs often requires patient engagement; as such, Australian consensus research has recommended that high‐quality education materials be made to patients for PIs via hospital networks. The purpose of the present study was to assess the availability and accuracy of patient education materials on PIs in publicly available hospital websites in Victoria, Australia. Two independent coders assessed 212 websites for content on PI prevention and management, analysing availability and accuracy of PI definitions, risk factors, preventive strategies, referral, visual tools, consumer endorsement, information for family/carers, and translation on community languages. A greater proportion of hospitals did not have any patient education materials on PI prevention publicly available, with private hospitals (compared with public) and metropolitan hospitals (compared to rural) more likely to have materials available on their sites. The available materials contained accurate messages on PI defining characteristics and risk factors for PIs, although there was considerable variability on the availability of other information. Our findings suggest a significant deficit in the availability of educational materials for acute care patients and their families. There is a need for evidence‐based, consumer‐endorsed, uniform materials on all hospital websites to prevent PIs in acute care.

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“…The main factors in the occurrence of injury are stress and tissue tolerance. Stress factors include compressive strength and duration; tissue tolerance is usually affected by the patient's patient's condition and the external microenvironment (Tirgari et al, 2018;Weller et al, 2018). Since the formation of stress injuries can be avoided, prevention is the main task in the clinic.…”

Section: Pressure Injurymentioning

confidence: 99%

Selection of Appropriate Wound Dressing for Various Wounds

Shi

Wang

et al. 2020

Front. Bioeng. Biotechnol.

286

157

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There are many factors involved in wound healing, and the healing process is not static. The therapeutic effect of modern wound dressings in the clinical management of wounds is documented. However, there are few reports regarding the reasonable selection of dressings for certain types of wounds in the clinic. In this article, we retrospect the history of wound dressing development and the classification of modern wound dressings. In addition, the pros and cons of mainstream modern wound dressings for the healing of different wounds, such as diabetic foot ulcers, pressure ulcers, burns and scalds, and chronic leg ulcers, as well as the physiological mechanisms involved in wound healing are summarized. This article provides a clinical guideline for selecting suitable wound dressings according to the types of wounds.

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Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Cited by 28 publications

References 52 publications

Prevalence of pressure injury in adults presenting to the emergency department by ambulance

Prevalence of pressure injury in adults presenting to the emergency department by ambulance

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Selection of Appropriate Wound Dressing for Various Wounds

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