Thesis
Use of Mepilex border dressing to prevent skin pressure injuries
Master of Science (M.S.), Drexel University
05 Jun 2023
DOI:
https://doi.org/10.17918/00001985
Abstract
Pressure injuries in hospitals around the nation continue to be an ongoing problem. Billions of dollars are spent every year correcting hospital acquired pressure injuries. The purpose of this quality improvement study is to find a solution that can reduce the amount of pressure injuries being reported in an Electrophysiology Laboratory at an acute care hospital. By reducing the amount of pressure injuries, we will also see an overall cost reduction for inpatient care, decreased length of stay for patients who acquired a pressure injury, and increased patient satisfaction. A PDSA (Plan Do Study Act) problem solving model will be used to facilitate a new intervention to prevent future pressure injuries. A sacral Mepilex dressing will be applied to patients with a Braden Scale score of less than 13. Once data is collected from the quality improvement project, the determination to alter the model can be used to make the intervention more effective if the results are not favorable. The results of the PDSA showed no new pressure injuries occurred in patients with a Braden Scale score of <13 that underwent a surgical procedure for three or more hours. Data was recorded over a two-week period. In that timeframe, 149 patients meeting the criteria agreed to the study. A two-nurse skin check was administered to confirm the findings. The clinical implications of this evidence indicate that prophylactically adding a sacral Mepilex dressing prior to a surgical procedure, exceeding three hours, can help in the prevention of hospital acquired pressure injuries. Keywords: pressure injury, Mepilex, surgery, patient, quality improvement, PDSA
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Details
- Title
- Use of Mepilex border dressing to prevent skin pressure injuries
- Creators
- Mark Ishler - Drexel University, Drexel University (1970-)
- Contributors
- Alicemarie R. Poyss (Advisor) - Drexel University, Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Master of Science (M.S.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 30 pages
- Resource Type
- Thesis
- Language
- English
- Academic Unit
- Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991021872713304721