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Practical solutions for preventing perioperative pressure injuries

Duration: 40 Minutes


Hospital-Acquired Pressure Injuries (HAPI) are an increasing complication, are expensive to treat and are correlated with higher readmission rates and development of other hospital-acquired conditions. While incidence data on OR-related pressure injuries varies greatly (4%-45%)*, they are not often attributed to the surgery because the HAPI is several days later in the receiving critical care or medical/surgical unit. Several validated risk screening protocols exist, however not all consider risk factors related to the surgical procedure itself. An East Coast safety net hospital was able to eliminate all OR-related pressure injuries by implementing an evidence-based quality improvement program that included a simple risk assessment tool and OR skin bundle.

*Reference: European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. Emily Haesler (Ed.). EPUAP/NPIAP/PPPIA: 2019.

Learning objectives:

  1. Recall common pressure injury risk assessment tools
  2. Summarize key recommendations for OR HAPI prevention
  3. Formulate a plan for OR HAPI reduction quality initiative
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  • Lilibeth Acero, BS, RN, DAPWCA
    Nassau University Medical Center
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  • Brandi Boutwell, BSN, RN
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