title: Prevention of Medical Device-Related Pressure Injuries Associated With Respiratory Equipment Use in a Critical Care Unit: A Quality Improvement Project.
abstract: Medical devices have been identified as an extrinsic risk factor for development of pressure injuries, with as many as 30% to 70% of medical device-related pressure injuries resulting from respiratory equipment. This article describes a quality improvement project undertaken to reduce the occurrence of respiratory device-related pressure injuries in a critically care unit. Multiple actions were implemented to achieve this goal. Respiratory therapists were trained to document occurrences on a daily basis, and apparent cause analyses were conducted on each occurrence. An interdisciplinary team conducted biweekly rounds on patients with respiratory devices and consulted other professionals as indicated. Nurses and respiratory therapists attended an evidence-based, collaborative, educational offering and completed a measure of team functioning before the program and at the end of the study period. The occurrence rates of respiratory device-related pressure injuries were reduced over the project period, and these changes were sustained over the subsequent 12 months.
authors.affiliation: Cynthia A. Padula, PhD, RN, The Miriam Hospital, Providence, Rhode Island. Heidi Paradis, MSN, RN, CCRN, CCNS, Department of Education, Catholic Medical Center, Manchester, New Hampshire; and The Miriam Hospital, Providence, Rhode Island. Robert Goodwin, BA, RRT, Respiratory Department, The Miriam Hospital, Providence, Rhode Island. Judith Lynch, MS, RN, CCRN, Newport Hospital, Newport, Rhode Island; and The Miriam Hospital, Providence, Rhode Island. Deborah Hegerich-Bartula, MSN, RN, CWOCN, The Miriam Hospital, Providence, Rhode Island.
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Padula
authors.forename: Heidi
authors.initials: H
authors.lastname: Paradis
authors.forename: Robert
authors.initials: R
authors.lastname: Goodwin
authors.forename: Judith
authors.initials: J
authors.lastname: Lynch
authors.forename: Deborah
authors.initials: D
authors.lastname: Hegerich-Bartula
mesh_terms: D003422:Critical Care / Q000592:standards*; D004869:Equipment Safety / Q000379:methods* / Q000451:nursing; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration; D003668:Pressure Ulcer / Q000517:prevention & control*; D058996:Quality Improvement; D012121:Respiration, Artificial / Q000009:adverse effects*; D012237:Rhode Island