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Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey

Katrien Vanderwee UGent, Tom Defloor UGent, Dimitri Beeckman UGent, Liesbet Demarré UGent, Sofie Verhaeghe UGent, Therese Van Durme and Micheline Gobert (2011) BMJ QUALITY & SAFETY. 20(3). p.260-267
abstract
Introduction: The development of a pressure ulcer is an adverse event and is often avoidable if adequate preventive measures are applied. No large-scale data, based on direct patient observations, are available regarding the pressure ulcer preventive interventions used in hospitals. Purpose: The aim of this study was to obtain insight into the adequacy of interventions used to prevent pressure ulcers in Belgian hospitals. Methods: A cross-sectional, multi-centre pressure ulcer prevalence study was performed in Belgian hospitals. The methodology used to measure pressure ulcer prevalence was developed by the European Pressure Ulcer Advisory Panel. The data collection instrument includes five categories of data: general data, patient data, risk assessment, skin observation and prevention. Results: The total sample consisted of 19 968 patients. The overall prevalence of pressure ulcers Category I-IV was 12.1%. Only 10.8% of the patients at risk received fully adequate prevention in bed and while sitting. More than 70% of the patients not at risk received some pressure ulcer prevention while lying or sitting. Concusion: Generally, there is a limited use of adequate preventive interventions for pressure ulcers in hospitals, which reflects a rather low quality of preventive care. The implementation of pressure ulcer guidelines requires more attention. The pressure ulcer prevention used in practice should be re-evaluated on a regular basis.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
VALIDITY, QUALITY, PREDICTION, CLASSIFICATION, IMPLEMENTATION, COHORT, CARE, SORE RISK, RISK-FACTORS, SUPPORT SURFACES
journal title
BMJ QUALITY & SAFETY
BMJ Qual. Saf.
volume
20
issue
3
pages
260 - 267
Web of Science type
Article
Web of Science id
000289727500009
ISSN
2044-5415
DOI
10.1136/bmjqs.2010.043125
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1234940
handle
http://hdl.handle.net/1854/LU-1234940
date created
2011-05-24 20:43:52
date last changed
2015-06-17 09:36:03
@article{1234940,
  abstract     = {Introduction: The development of a pressure ulcer is an adverse event and is often avoidable if adequate preventive measures are applied. No large-scale data, based on direct patient observations, are available regarding the pressure ulcer preventive interventions used in hospitals. Purpose: The aim of this study was to obtain insight into the adequacy of interventions used to prevent pressure ulcers in Belgian hospitals. Methods: A cross-sectional, multi-centre pressure ulcer prevalence study was performed in Belgian hospitals. The methodology used to measure pressure ulcer prevalence was developed by the European Pressure Ulcer Advisory Panel. The data collection instrument includes five categories of data: general data, patient data, risk assessment, skin observation and prevention. Results: The total sample consisted of 19 968 patients. The overall prevalence of pressure ulcers Category I-IV was 12.1\%. Only 10.8\% of the patients at risk received fully adequate prevention in bed and while sitting. More than 70\% of the patients not at risk received some pressure ulcer prevention while lying or sitting. Concusion: Generally, there is a limited use of adequate preventive interventions for pressure ulcers in hospitals, which reflects a rather low quality of preventive care. The implementation of pressure ulcer guidelines requires more attention. The pressure ulcer prevention used in practice should be re-evaluated on a regular basis.},
  author       = {Vanderwee, Katrien and Defloor, Tom and Beeckman, Dimitri and Demarr{\'e}, Liesbet and Verhaeghe, Sofie and Van Durme, Therese and Gobert, Micheline},
  issn         = {2044-5415},
  journal      = {BMJ QUALITY \& SAFETY},
  keyword      = {VALIDITY,QUALITY,PREDICTION,CLASSIFICATION,IMPLEMENTATION,COHORT,CARE,SORE RISK,RISK-FACTORS,SUPPORT SURFACES},
  language     = {eng},
  number       = {3},
  pages        = {260--267},
  title        = {Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey},
  url          = {http://dx.doi.org/10.1136/bmjqs.2010.043125},
  volume       = {20},
  year         = {2011},
}

Chicago
Vanderwee, Katrien, Tom Defloor, Dimitri Beeckman, Liesbet Demarré, Sofie Verhaeghe, Therese Van Durme, and Micheline Gobert. 2011. “Assessing the Adequacy of Pressure Ulcer Prevention in Hospitals: a Nationwide Prevalence Survey.” Bmj Quality & Safety 20 (3): 260–267.
APA
Vanderwee, K., Defloor, T., Beeckman, D., Demarré, L., Verhaeghe, S., Van Durme, T., & Gobert, M. (2011). Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey. BMJ QUALITY & SAFETY, 20(3), 260–267.
Vancouver
1.
Vanderwee K, Defloor T, Beeckman D, Demarré L, Verhaeghe S, Van Durme T, et al. Assessing the adequacy of pressure ulcer prevention in hospitals: a nationwide prevalence survey. BMJ QUALITY & SAFETY. 2011;20(3):260–7.
MLA
Vanderwee, Katrien, Tom Defloor, Dimitri Beeckman, et al. “Assessing the Adequacy of Pressure Ulcer Prevention in Hospitals: a Nationwide Prevalence Survey.” BMJ QUALITY & SAFETY 20.3 (2011): 260–267. Print.