C.A.R.E to Prevent Medical Device-Related Pressure Injuries

C. Preston Lewis, DNP, MSN, RN, CCRN-K; Kristene E. Colcord, MSN, RN, CWOCN; Ashley Peterson, BSN, RN, ONC; Charmaine Pfister, MSN, APRN, FNP-BC, CWOCN; Mary Ellen Robertson, MSN, RN; Aaron Slyh, BSN, RN, CWOCN; Brittany Smoot, MSN, RN; Kathy Tussey, MSN, RN, NEA-BC; Heather Whalen, MSN, APRN, FNP-BC, CWOCN, CFCN


Am Nurs Journal. 2021;16(6) 

In This Article

Measuring Outcomes

Incidence and prevalence outcome measures were chosen to evaluate the protocol's effectiveness. The mean monthly medical device pressure injury incidence decreased from 1.23 per 1,000 patient days (October–December 2016) to 0.20 (June 2017–July 2020), reflecting an overall 84% reduction over 4 years. Postintervention, 16 of 38 months reported no injuries across all MST units and ICUs with none reported in the past 7 months (January–July 2020). Quarterly prevalence studies revealed exemplary outcomes. Most qualifying inpatient units (n = 15) outperformed the national benchmark for 11 quarters postintervention, with eight quarters reflecting zero injuries. (Access outcome data at myamericannurse.com/?p=112429.)