title: Development of a pressure ulcer trigger tool for the neonatal population.
abstract: A large Midwest level IIIb neonatal intensive care unit located in a 500-bed teaching hospital implemented quarterly skin prevalence surveys to monitor prevalence of altered skin integrity including pressure ulcers, diaper dermatitis (incontinence-associated dermatitis), and skin damage as a result of intravenous therapy, adhesive, or medical devices. Pressure ulcer prevalence varied from 0% to 1% per quarter, and no pressure ulcer risk assessment tool was regularly implemented. Therefore, a working group was formed to identify a risk assessment. The Iowa Model for Evidence-Based Practice was used to guide the project. A literature review was completed to identify validated instruments, but available tools were judged lengthy for routine clinical use. Therefore, we developed a short trigger tool comprising 3 questions to identify infants at risk for pressure ulcer development.
authors.affiliation: Sanford USD Medical Center, Sioux Falls, South Dakota 57110, USA. bette.schumacher@sanfordhealth.org
authors.forename: Bette
authors.initials: B
authors.lastname: Schumacher
authors.forename: Mary
authors.initials: M
authors.lastname: Askew
authors.forename: Kathy
authors.initials: K
authors.lastname: Otten
mesh_terms: D002648:Child; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D015931:Intensive Care, Neonatal; D003668:Pressure Ulcer / Q000175:diagnosis / Q000453:epidemiology*; D018570:Risk Assessment; D011795:Surveys and Questionnaires