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Prevalence Study

Tips and Tricks. Prevalence Study. The problem of pressure ulcers. The development of HAPU places the patient at risk for other adverse events and increases resource consumption and healthcare costs.

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Prevalence Study

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  1. Tips and Tricks Prevalence Study

  2. The problem of pressure ulcers • The development of HAPU places the patient at risk for other adverse events and increases resource consumption and healthcare costs. • Interventions to reduce pressure, friction/shear and identify risk factors such as immobility, incontinence, impaired nutrition will decrease pressure ulcer occurrence and he worsening of existing pressure ulcers. • Pressure ulcer prevention requires multidisciplinary effort

  3. Prevalence Study • Point prevalence • Includes those admitted to the healthcare facility with a pressure ulcer and those who developed one between admission and the time of the study. # of pt’s with a PU at a particular point in time divided by the total # of pt’s in the population studied at a particular point in time multiplied by 100

  4. Purpose • To determine the rate of pressure ulcer occurrence • To determine the proportion of patients who received skin and pressure ulcer risk assessments • To determine the proportion of at risk patients who received pressure ulcer prevention • To determine the type of prevention interventions implemented for at risk patients.

  5. Goal: ACCURATE and RELIABLE data collection • Each facility must identify persons to collect data for a PU Survey • Head Team Leader • Team Members • Support Staff

  6. The Study • Quarterly PU surveys are recommended • Must be conducted on a designated day on all units • List of all patients assigned to the unit • Number of patients excluded from study

  7. Process For each patient assessed • Skin assessment documented within 24 hours of admission? • Braden recorded within 24 hours of admission • Admit Braden score • Date and time of last Braden score prior to survey • Based on the last Braden, was patient at risk? • Pressure prevention protocol in place for at risk patients?

  8. Types of prevention interventions used within the last 24 hours • Skin assessment within last 24 hours? • Pressure redistribution surface? • Repositioning? • Nutritional support? • Moisture management?

  9. Pressure Ulcers • # of pre-existing Pressure Ulcers- should be staged and reported • # of Hospital acquired Pressure Ulcers- staged and reported • Unit of Origin of Hospital Acquired PU

  10. After Data Collection • EXTERNAL; submit data to external databases • Internal: calculate HAPU rates • # of patients with HAPU divided by the # of patients in the survey multiplied by 100

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