Pressure ulcer prevention

Results from a five-year pressure ulcer prevention project in an Australian university hospital

By: Mölnlycke Health Care, August 10 2016Posted in: Pressure ulcer prevention

Clinical innovation: results from a five-year pressure ulcer prevention project in an Australian university hospitalPressure ulcer (PU) prevention is an area within healthcare that poses ongoing challenges for clinicians, but which is also the focus of a growing body of evidence demonstrating the efficacy of prevention protocols.

The Royal Melbourne Hospital (RMH) in Australia recently published details of the outcomes from its five-year PU prevention program in the publication Wounds International.1 The findings highlighted a marked decrease in the prevalence of hospital-acquired PUs, from 6.6 percent in 2010 to 6 percent in 2012 to 2.5 percent in 2014. The program involved multiple interventions coordinated by the hospital's Skin Integrity Committee.

The results demonstrate the effectiveness of this multifaceted program of PU prevention based on research and education. But the process by which these results were achieved is equally compelling. In 2010, RMH restructured its wound management governance approach (becoming the aforementioned Skin Integrity Committee), involving more representatives who provide direct patient care as well as employees from materials management and procurement. One of the largest aspects of the committee's work was to focus on reducing and preventing hospital-acquired PUs. To do so, the committee needed to determine the prevalence of PUs, from which prevention strategies could be developed.

Clinical innovation: Growing body of evidence

During the first phases of the committee's work, in 2011, a PU prevention research program was developed to examine the potential benefits of prophylactic dressings to prevent PU in high-risk patients. In early 2013, a large randomized controlled trial was completed and demonstrated the effectiveness of multi-layer foam dressings with Safetac® as a component of standard preventive strategies in the prevention of PUs. This was followed by a cost-benefit analysis, the results of which were also in support of the use of prophylactic dressings. At the same time, scientific evidence was emerging elsewhere to show how the protective mechanisms of these dressings work to help prevent PUs.2,3 By 2013, it was clear from the available evidence that prevention was indeed possible and improving clinical care and adherence to guidelines, as part of redesigning the hospital’s whole approach, could significantly reduce the occurrence of PUs.

Taking steps to PU prevention

Clinical innovation: results from a five-year pressure ulcer prevention project in an Australian university hospitalLearn about the multidisciplinary team's five-year process and the initiatives they introduced to reduce hospital-acquired PUs by downloading the full research article (4 MB pdf, opens in a new window)

References

  1. Santamaria, N., McCann, J., O’Keefe, S., Rakis, S., Sage, S., Tudor, H., Ng, A.W., Morrow, F. Clinical innovation: results from a 5-year pressure ulcer prevention project in an Australian University.  Wounds International 2015;6(3):12-16.
  2. Gefen, A. How do microclimate factors affect the risk for superficial pressure ulcers: a mathematical modelling study. Journal of Tissue Viability 2011;20(3):81-88. 
  3. Levy, A., Ben-Or Frank, M., Gefen, A. The biomechanical efficacy of dressings in preventing heel ulcers. Journal of Tissue Viability 2015; http://dx.doi.org/10.1016/j.jtv.2015.01.001 (external link, opens in a new window).
Share this

Related information

Expensive wounds
Expensive wounds

Pressure ulcers place a major burden on healthcare systems worldwide....

Ulcer history
Ulcer history

Pressure ulcers are not a new phenomenon. The first reports in literature...

Risk factors
Risk factors

Both intrinsic and extrinsic factors must be considered, general health,...

Ulcer categories
Ulcer categories

To describe the state of a wound, EPUAP and NPUAP1 recommend that pressure...

Prevention strategies
Prevention strategies

A pressure ulcer prevention strategy should always include risk and skin...

Successful treatment
Successful treatment

Patients at high risk of developing pressure ulcers can be identified before...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Michael Clark on what dressings can be used to prevent pressure ulceration

What dressings can be used to prevent pressure ulceration?1...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Michael Clark on pressure ulcer prevention guidelines

Are there any guidelines relating to the use of dressings...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Cees Oomens on what causes pressure ulcers to occur

Is it shear on the skin surface or within tissue that...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Cees Oomens on what level of pressure does an ulcer form

At what level of pressure does an ulcer form?1  

Pressure ulcer prevention - Paulo Alves...
Pressure ulcer prevention - Paulo Alves on the potential to develop pressure ulcers

Should all patients be treated as having the potential...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Michael Clark on dressing properties and reductions in incidence of Pressure ulcers

A number of clinical studies have demonstrated significant...

Pressure ulcer prevention - Paulo Alves...
Pressure ulcer prevention - Paulo Alves on prevalence of pressure ulceration

Is the prevalence of pressure ulceration increasing?...

Pressure ulcer prevention - The problem
Pressure ulcer prevention - The problem

HAPU occur most commonly in the ICU (12-42%)1, with...

Dressings for prevention
Dressings for  prevention

Mepilex® Border Sacrum can add to your HAPU prevention...

The power of four
The power of four

When compared with no dressing and competitors’ products, Mepilex® Border...

Pressure ulcer prevention - Clinically...
Pressure ulcer prevention - Clinically proven to reduce pressure ulcers

C. Tod Brindle11 demonstrated that Mepilex® Border...

Pressure ulcer prevention - Role of...
Pressure ulcer prevention - Role of the silicone

On the 3rd of September Mölnlycke Health Care, together...

Pressure ulcer prevention - Dressing...
Pressure ulcer prevention - Dressing size

On the 3rd of September Mölnlycke Health Care, together...

Pressure ulcer prevention - Nick Santamaria...
Pressure ulcer prevention - Nick Santamaria on dressings for "at risk" part of the body

On the 3rd of September Mölnlycke Health Care, together...

Pressure ulcer prevention - Nick Santamaria...
Pressure ulcer prevention - Nick Santamaria on the use of protocol in prevention

On the 3rd of September Mölnlycke Health Care, together...

Application instructions video for Mepilex...
Application instructions video for Mepilex Border Sacrum

New application instructions video for Mepilex Border...

Pressure ulcer prevention - Professor...
Pressure ulcer prevention - Professor Cees Oomens on how dressings reduce shear deep in fatty tissue and muscle

How do dressings reduce shear deep in fatty tissue...

Prof Nick Santamaria - Is the strategy...
Prof Nick Santamaria - Is the strategy of using Mepilex Border Sacrum and Mepilex Heel in prevention clinically effective?

On the 17th of May Mölnlycke Health Care, together...

Pressure ulcer prevention - C Tod Brindle...
Pressure ulcer prevention - C Tod Brindle on tools that can be used for risk calculation

During this year’s World union congress in Japan C...

Peggy Kalowes - Is the strategy of using...
Peggy Kalowes - Is the strategy of using Mepilex Border Sacrum in prevention clinically effective?

On the 17th of May Mölnlycke Health Care, together...

Pressure ulcer prevention - C Tod Brindle...
Pressure ulcer prevention - C Tod Brindle on risk criteria to consider to identify patients who could benefit from the use of Mepilex Border Sacrum within their prevention plan

During this year’s World union congress in Japan C...

Peggy Kalowes - What was the biggest...
Peggy Kalowes - What was the biggest challenge in your latest study?

On the 17th of May Mölnlycke Health Care, together...

Evan Call - Are pressure ulcers due...
Evan Call - Are pressure ulcers due to pressure alone?

On the 17th of May Mölnlycke Health Care, together...

Evan Call - How does Mepilex Border...
Evan Call - How does Mepilex Border Sacrum work in prevention?

On the 17th of May Mölnlycke Health Care, together...

C Tod Brindle - Construction matters:...
C Tod Brindle - Construction matters: The use of multilayer silicone foam dressings for pressure ulcer prevention

During this year’s World Union congress in Yokohama,...

Prof Nick Santamaria - Is it cost effective...
Prof Nick Santamaria - Is it cost effective to put a dressing on healthy skin?

On the 17th of May Mölnlycke Health Care, together...

Prof Nick Santamaria - Dressings in...
Prof Nick Santamaria - Dressings in prevention; How do you implement this change of practice?

On the 17th of May Mölnlycke Health Care, together...

Pressure ulcer prevention - Healthcare...
Pressure ulcer prevention - Healthcare professional testimonial

As a tissue viability nurse, Alison Johnstone has thirty...

Paulo Alves - How do the quality of...
Paulo Alves - How do the quality of evidence compare to earlier studies?

On the 17th of May Mölnlycke Health Care, together...

Pressure ulcer prevention - C Tod Brindle...
Pressure ulcer prevention - C Tod Brindle on positioning Mepilex Border Sacrum to fit better

During this year’s World union congress in Japan C...

Putting evidence into practice: Clinical...
Putting evidence into practice: Clinical and scientific evidence demonstrate proven prevention

Findings from a cohort study indicate that the use...

Pressure Injury Prevention Webinars

  Best Practices in Pressure Ulcer PreventionCAWC Friday February 27, 2015...