Comparison of pressure injury risk assessment outcomes using a structured assessment tool versus clinical judgement: A systematic review

2021 ◽  
Author(s):  
Josephine Lovegrove ◽  
Saroeun Ven ◽  
Sandra J. Miles ◽  
Paul Fulbrook
Keyword(s):  
Systematic Review ◽  
Risk Assessment ◽  
Injury Risk ◽  
Assessment Tool ◽  
Clinical Judgement ◽  
Pressure Injury ◽  
Assessment Outcomes

scholarly journals Reducing hospital-acquired pressure injuries

2019 ◽  
Vol 8 (1) ◽  
pp. e000464
Author(s):  
Yasser K Al-Otaibi ◽  
Noura Al-Nowaiser ◽  
Arshur Rahman
Keyword(s):  
Risk Assessment ◽  
Injury Risk ◽  
Assessment Tool ◽  
P Value ◽  
Evidence Based ◽  
Improvement Project ◽  
Healthcare Improvement ◽  
Pressure Injury ◽  
Evidenced Based ◽  
Hospital Acquired

Hospital-acquired pressure injury is a common preventable condition. Our hospital is a 144-bed governmental hospital in the Kingdom of Saudi Arabia that was found to have a 7.5% prevalence of hospital-acquired pressure injury in 2016. The aim of the improvement project was to reduce the prevalence of pressure injuries in our hospital from 7.5% to below 4% by the end of 2017. Our strategy for improvement was based on the Institute for Healthcare Improvement Model for Improvement. The change strategy was based on implementing an evidence-based risk assessment tool and a bundled evidence-based pressure injury prevention (PIP) intervention termed PIP bundle. After implementing the change package, we observed a reduction in the prevalence of pressure injuries by 84% (RR 0.16;95% CI 0.07 to 0.3; p value <0.0001) over a period of 12 weeks, in addition to an improvement in the compliance of pressure injury risk assessment and PIP interventions. The use of an evidenced-based bundled approach to prevent hospital-acquired pressure injuries has resulted in a significant reduction in the rate of pressure injuries. Improvement results were sustainable. In addition, our outcome measure exhibited minimal variability.

scholarly journals Inter-Rater Reliability of a Pressure Injury Risk Assessment Scale for Home Care: A Multicenter Cross-Sectional Study

2020 ◽  
Vol Volume 13 ◽  
pp. 2031-2041
Author(s):  
Masushi Kohta ◽  
Takehiko Ohura ◽  
Kunio Tsukada ◽  
Yoshinori Nakamura ◽  
Mishiho Sukegawa ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Home Care ◽  
Injury Risk ◽  
Cross Sectional Study ◽  
Assessment Scale ◽  
Sectional Study ◽  
Cross Sectional ◽  
Rater Reliability ◽  
Pressure Injury

Objective Pressure Injury Risk Assessment Using A Wearable Pressure Sensor

2019 ◽  
Author(s):  
Sam Mansfield ◽  
Sachin Rangarajan ◽  
Katia Obraczka ◽  
Hanmin Lee ◽  
David Young ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pressure Sensor ◽  
Injury Risk ◽  
Pressure Injury

Automated Fall and Pressure Injury Risk Assessment Systems

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yinji Jin ◽  
Heejeong Kim ◽  
Taixian Jin ◽  
Sun-Mi Lee
Keyword(s):  
Risk Assessment ◽  
Injury Risk ◽  
Assessment Systems ◽  
Pressure Injury

scholarly journals A dedicated paediatric logistic organ dysfunction score - adjusted pressure injury risk assessment scale is required for tertiary paediatric ICUs

2019 ◽  
Vol 29 (3) ◽  
pp. 455-456 ◽  
Author(s):  
Natalie Crane ◽  
Natasha Pool ◽  
Ivy Chang ◽  
Sharna Rogan ◽  
Christian Stocker ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Organ Dysfunction ◽  
Injury Risk ◽  
Assessment Scale ◽  
Logistic Organ Dysfunction ◽  
Pressure Injury

Incidence and risk factors for pressure injuries in adults in specialised medical care: a prospective observational study

2021 ◽  
Vol 30 (11) ◽  
pp. 945-953
Author(s):  
Sanna Stoltenberg ◽  
Jaana Kotila ◽  
Anniina Heikkilä ◽  
Tarja Kvist ◽  
Kristiina Junttila
Keyword(s):  
Risk Factors ◽  
Medical Care ◽  
Injury Risk ◽  
Assessment Tool ◽  
Conflicts Of Interest ◽  
Target Group ◽  
Older Age ◽  
Increased Risk ◽  
Pressure Injury ◽  
Hospital Stays

Introduction: Hospital-acquired pressure injuries are one of the most important indicators of quality patient care. It is important to identify high-risk patients to guide the implementation of appropriate prevention strategies. This can be done by using an assessment tool that covers the main risk factors for pressure injuries. Aim: The purpose of the study was to describe the incidence of pressure injuries and the associated risk factors among patients assessed with the Prevent Pressure Injury (PPI) risk assessment tool developed by the Helsinki University Hospital. Method: The study was conducted by selecting six wards from medical, surgical and neurological units. The target group were the patients being treated in the study units who gave their informed consent. The research data were retrieved from electronic patient records. Results: From the target group, 332 patients were eligible to participate in the study. The pressure injury risk was found to increase with longer hospital stays and older age. Surgical patients had an increased risk of pressure injuries compared to other specialty fields. A primary diagnosis of musculoskeletal or connective tissue disease, and secondary diagnoses of hypertension and cerebral haemorrhage, were linked with an increased pressure injury risk. A total of nine pressure injuries occurred in nine patients, with an incidence of 2.5% (stages II−IV). Conclusion: The observation and recording of pressure injuries in specialised medical care remain insufficient. Longer hospital stays, older age and surgery increase pressure injury risk. Also, patients' primary and secondary diagnoses may increase the pressure injury risk. Declaration of interest: The authors have no conflicts of interest to declare.

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