Pressure Injuries

A pressure injury is damage to the skin or underlying tissue caused by pressure, friction or moisture.  These often happen when children can’t move around in bed on their own, have fragile skin or decreased circulation. Additional risk factors include:

  • changes in bowel or bladder function
  • inadequate intake of nutrients and
  • changes in cognitive function

 

Pressure injuries are staged according to the seriousness of the injury.  The categories are Stages 1-4 and unstageable.  Some pressure injuries are unavoidable.  Some are preventable.  At PMCH we track our rate of serious pressure injuries (Stages 3 and 4 and unstageable).   

The graph shows the rate of serious pressure injuries per 1,000 patient days in PMCH.

chart of pressure injuries

What we are doing to improve:

  • Apply standard practices known as “bundles” that have been shown to reduce the rate of pressure injuries.
  • Educate families about the dangers of their child developing a pressure injury.
  • Ensure all providers and nurses are faithful to the bundle elements while caring for your child.
  • Review all events to learn ways to decrease rate of patients injuries in the future.

For more information:

Institute for Healthcare Improvement http://www.ihi.org/Topics/PressureUlcers/Pages/default.aspx

National Pressure Ulcer Advisory Panel http://www.npuap.org/

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