Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility: A Quality Improvement Project

Kenneth Romito; Laura A Talbot; E Jeffrey Metter; Amber L Smith; J Michael Hartmann; David F Bradley

doi:10.1093/milmed/usad321

Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility: A Quality Improvement Project

Kenneth Romito, Laura A Talbot, E Jeffrey Metter, Amber L Smith, J Michael Hartmann, David F Bradley

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

INTRODUCTION: The incidence of perioperative pressure injuries (PPIs) at a military medical treatment facility (MTF) increased from three PPI events in 2018 to five PPI events in the first half of 2019. The purpose of this quality improvement initiative was to determine whether an evidence-based PPI prevention program introduced during the second half of 2019 reduced pressure injuries compared to the previous 1.5 years that followed the standard of care for perioperative patient positioning.

METHODS: We used a multidisciplinary quality improvement PPI prevention approach that included education, Scott Triggers® patient risk assessment, application of a five-layer silicone dressing to at-risk surgical position sites, and feedback via multidisciplinary postoperative rounding.

RESULTS: There was an observed decrease in the rate of PPIs from 0.62 to 0.00 per 1,000 patient surgeries during the 26-month period that this protocol was implemented.

CONCLUSION: This project was conducted at a major MTF using a multidisciplinary PPI prevention approach that may be of value in reducing PPIs in other settings. This approach seems worthy of further investigation and may be applicable to other military MTFs and in deployed settings.

Original language	English
Pages (from-to)	51-56
Number of pages	6
Journal	Military Medicine
Volume	189
Issue number	Suppl 1
DOIs	https://doi.org/10.1093/milmed/usad321
State	Published - 10 Nov 2023

Keywords

Humans
Pressure Ulcer/prevention & control
Quality Improvement
Military Personnel
Risk Assessment/methods
Incidence

Access to Document

10.1093/milmed/usad321

Cite this

@article{22b26648866c4ee6b746dfdede33f536,

title = "Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility: A Quality Improvement Project",

abstract = "INTRODUCTION: The incidence of perioperative pressure injuries (PPIs) at a military medical treatment facility (MTF) increased from three PPI events in 2018 to five PPI events in the first half of 2019. The purpose of this quality improvement initiative was to determine whether an evidence-based PPI prevention program introduced during the second half of 2019 reduced pressure injuries compared to the previous 1.5 years that followed the standard of care for perioperative patient positioning.METHODS: We used a multidisciplinary quality improvement PPI prevention approach that included education, Scott Triggers{\textregistered} patient risk assessment, application of a five-layer silicone dressing to at-risk surgical position sites, and feedback via multidisciplinary postoperative rounding.RESULTS: There was an observed decrease in the rate of PPIs from 0.62 to 0.00 per 1,000 patient surgeries during the 26-month period that this protocol was implemented.CONCLUSION: This project was conducted at a major MTF using a multidisciplinary PPI prevention approach that may be of value in reducing PPIs in other settings. This approach seems worthy of further investigation and may be applicable to other military MTFs and in deployed settings.",

keywords = "Humans, Pressure Ulcer/prevention & control, Quality Improvement, Military Personnel, Risk Assessment/methods, Incidence",

author = "Kenneth Romito and Talbot, {Laura A} and Metter, {E Jeffrey} and Smith, {Amber L} and Hartmann, {J Michael} and Bradley, {David F}",

note = "Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.",

year = "2023",

month = nov,

day = "10",

doi = "10.1093/milmed/usad321",

language = "English",

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journal = "Military Medicine",

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TY - JOUR

T1 - Perioperative Pressure Injury Prevention Program in a Military Medical Treatment Facility

T2 - A Quality Improvement Project

AU - Romito, Kenneth

AU - Talbot, Laura A

AU - Metter, E Jeffrey

AU - Smith, Amber L

AU - Hartmann, J Michael

AU - Bradley, David F

N1 - Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2023. This work is written by (a) US Government employee(s) and is in the public domain in the US.

PY - 2023/11/10

Y1 - 2023/11/10

N2 - INTRODUCTION: The incidence of perioperative pressure injuries (PPIs) at a military medical treatment facility (MTF) increased from three PPI events in 2018 to five PPI events in the first half of 2019. The purpose of this quality improvement initiative was to determine whether an evidence-based PPI prevention program introduced during the second half of 2019 reduced pressure injuries compared to the previous 1.5 years that followed the standard of care for perioperative patient positioning.METHODS: We used a multidisciplinary quality improvement PPI prevention approach that included education, Scott Triggers® patient risk assessment, application of a five-layer silicone dressing to at-risk surgical position sites, and feedback via multidisciplinary postoperative rounding.RESULTS: There was an observed decrease in the rate of PPIs from 0.62 to 0.00 per 1,000 patient surgeries during the 26-month period that this protocol was implemented.CONCLUSION: This project was conducted at a major MTF using a multidisciplinary PPI prevention approach that may be of value in reducing PPIs in other settings. This approach seems worthy of further investigation and may be applicable to other military MTFs and in deployed settings.

AB - INTRODUCTION: The incidence of perioperative pressure injuries (PPIs) at a military medical treatment facility (MTF) increased from three PPI events in 2018 to five PPI events in the first half of 2019. The purpose of this quality improvement initiative was to determine whether an evidence-based PPI prevention program introduced during the second half of 2019 reduced pressure injuries compared to the previous 1.5 years that followed the standard of care for perioperative patient positioning.METHODS: We used a multidisciplinary quality improvement PPI prevention approach that included education, Scott Triggers® patient risk assessment, application of a five-layer silicone dressing to at-risk surgical position sites, and feedback via multidisciplinary postoperative rounding.RESULTS: There was an observed decrease in the rate of PPIs from 0.62 to 0.00 per 1,000 patient surgeries during the 26-month period that this protocol was implemented.CONCLUSION: This project was conducted at a major MTF using a multidisciplinary PPI prevention approach that may be of value in reducing PPIs in other settings. This approach seems worthy of further investigation and may be applicable to other military MTFs and in deployed settings.

KW - Humans

KW - Pressure Ulcer/prevention & control

KW - Quality Improvement

KW - Military Personnel

KW - Risk Assessment/methods

KW - Incidence

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DO - 10.1093/milmed/usad321

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SN - 0026-4075

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JO - Military Medicine

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