title: [Reducing patient pressure sore incidence density in the pediatric surgical intensive care unit].
abstract: OBJECTIVE
  Our unit recorded 21 cases of pressure sores from January 2011 to June 2011. The resulting pressure-sore incidence density of 0.74% exceeded the Taiwan Clinical Performance Indicator (TCPI) for medical centers (0.62%) as well as the mean incidence density for our unit (0.55%) during the same period in 2010.
  
  
  OBJECTIVE
  We developed this project to decrease the incidence density of pressure sores at our pediatric-surgical-intensive-care unit from 0.74% to 0.31%.
  
  
  METHODS
  Strategies implemented included: 1. providing on-the-job education; 2. providing bedside teaching; 3. developing a series of pictures to illustrate proper sitting, lying, and changing positions and the proper fixation of catheters; 4. implementing a reminder mechanism; 5. introducing pressure-preventing devices; 6. and establishing an audit team.
  
  
  RESULTS
  Incidence density decreased from 0.74% (Jan. to Jun. 2011) to 0.18% (Mar. to Jul. 2012).
  
  
  CONCLUSIONS
  We demonstrated that the developed improvement program effectively reduced the incidence density of pressure sores and increased the quality of nursing care.
authors.affiliation: Pediatric Surgical Intensive Care Unit, National Taiwan University Hospital;, Taiwan, ROC.
authors.forename: Wei-Chen
authors.initials: WC
authors.lastname: Huang
authors.affiliation: School of Nursing, National Taiwan University, Taiwan, ROC. srchang@ntu.edu.tw.
authors.forename: Shiow-Ru
authors.initials: SR
authors.lastname: Chang
authors.affiliation: Pediatric Surgical Intensive Care Unit, National Taiwan University Hospital, Taiwan, ROC.
authors.forename: Chi-Min
authors.initials: CM
authors.lastname: Tang
mesh_terms: D002648:Child; D006801:Humans; D015994:Incidence; D015278:Intensive Care Units, Pediatric; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*
keywords: incidence density; pediatric intensive care unit; pediatrics; pressure sore