ABSTRACT 108

Le résumé fourni par la source

Background and aims: Pressure ulcers are commonly thought of as a problem of immobility and prevention strategies are aimed at preventing these. However, PUP survey data at our hospital indicates that MDRPUs account for a higher percentage of pressure ulcers then those related to immobility. Aims: We aimed to review our PUP data to identify and quantify the most common MDRPU’s in order to develop appropriate prevention and intervention strategies to address this category of pressure ulcers. Methods: Survey data from August 2010 through August 2013 was reviewed for the prevalence of MDRPUs. MDRPUs were further broken down by device. The Skin Subject Matter Expert (Skin SME) Committee reviewed this data and developed plans to implement educational and practice interventions to address the most common MDRPU’s. Results: Thirteen surveys (N=3999 patients) were completed between August 2010 and August 2013. 307 pressure ulcers were documented. Sixty four percent (N=186) of the pressure ulcers documented were MDRPU. Nineteen different medical devices were identified as the cause of these pressure ulcers. The most frequent medical devices sited were oxygen saturation probes, non-invasive ventilation masks and orthopedic devices. To date, interventions have been put into place to address sat probe and non-invasive mask related pressure ulcers with a steady decline seen in the rates of these MDRPUs. Conclusions: MDRPUs account for greater than half of all pressure ulcers in our hospital. Standard pressure ulcer prevention strategies do not account for medical devices. New strategies are needed to target medical devices if we are to improve our overall pressure ulcer prevalence.

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