Pressure injuries (PI) are a current challenge for hospitals and have high incidence rates in some organisations. Hospital-acquired pressure injuries increase prices, increase morbidity and even contribute to mortality in some vulnerable patients. we have a tendency to discuss the causes and conditions (pressure, shear, friction, microclimate) and we tend to discuss tips and processes to cut back incidence and improve risk assessment and detection rates. we produce and implement protocols to reduce the incidence of pressure injuries. we tend to undertake clinical studies, that we repeat, and find time and once more, that there are effective prevention strategies and techniques.
The body of evidence is worth discussing repeatedly, and the prevention message is worth repetition as a result of the problem of pressure injuries continues to exist: the population is aging, obesity rates are rising, as are a variety of chronic diseases, like diabetes. In short, patients – and a lot of them – are sicker once they come back to our hospitals. With respect to pressure injuries, we’d like to repeatedly rummage around for higher ways in which of preventing these injuries. we’ve got to critically analyse the rising clinical and scientific proof for improving ways in which to safeguard our patients from developing these preventable wounds.
Just as the message bears repeating over time, the path of gathering clinical evidence takes time. The findings highlighted a marked decrease in the prevalence of hospital-acquired PUs, from 6.6 percent in 2010 to 6 percent in 2014 to 2.5 percent in 2016.
What do these results mean? The results demonstrate the effectiveness of a multifaceted program of PI prevention based on the translation of research evidence, targeted education and clinical practice change. They also show the importance of examining and improving clinical processes and governance. The recent research work involves a multi-phase process that took place over five years, which included multiple pressure injury prevalence surveys, monthly incidence monitoring, the conduct of a large randomised controlled trial (RCT) and subsequent cost-benefit analysis, revision of our clinical policies and an institution-wide communication process.
Looking at the combined evidence over time, a clear pattern emerged: prevention is possible, the scientific, clinical and health economic evidence support the conclusion that the occurrence of PIs can be significantly reduced.
International Conference on Wound Care, Tissue Repair and Regenerative Medicine, June 14-15, 2018 at London, UK. For more vist: https://goo.gl/YyVtPr