dc.contributor.author | Horton-Jones, Martyne | |
dc.contributor.author | Marsh, Emma | |
dc.contributor.author | Fumarola, Sian | |
dc.contributor.author | Wright-White, Helen | |
dc.contributor.author | McSherry, Wilfred | |
dc.contributor.author | Rowson, Trish | |
dc.date.accessioned | 2023-02-17T10:00:46Z | |
dc.date.available | 2023-02-17T10:00:46Z | |
dc.date.created | 2020-01-24T13:08:39Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Healthcare. 2019, 7 (2), 1-14 | |
dc.identifier.issn | 2227-9032 | |
dc.identifier.uri | https://hdl.handle.net/11250/3051874 | |
dc.description | This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). | |
dc.description.abstract | Background: Between October 2017 and March 2018, the Trust experienced significant winter pressures and an increase in category 2 and 3 hospital-acquired avoidable pressure ulcers. This review aimed to investigate the causal factors of this increase.
Methods: A ‘Deep Dive’ review of 37 cases was undertaken in three stages: (i) assurance; ensure the increase was not due to insufficient equipment; (ii) collation of relevant data, including age, length of time in A&E, bed surface, number of internal moves; (iii) analysis identifying factors that might account for the observed increase.
Findings: Age combined with prolonged length of time in A&E, being nursed on a trolley followed by three or four internal moves were observed in patients who developed pressure ulcers. Patient age was observed as a key factor, with those over 80 years experiencing pressure ulcers more frequently.
Conclusion: The small size of this data suggests a need for the greater awareness of frailty issues in older people, timely assessment and intervention to prevent a chain of detrimental factors might be key to reduce and prevent hospital-acquired avoidable pressure ulcers. Recommendations for immediate action, education and future research have been made to the Trust Quality and Safety Committee. | |
dc.language.iso | eng | |
dc.rights | Navngivelse 4.0 Internasjonal | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | |
dc.subject | older people | |
dc.subject | patient experience | |
dc.subject | quality | |
dc.subject | frailty | |
dc.subject | deep dive | |
dc.title | Using Deep Dive Methodology to Investigate an Increased Incidence of Hospital-Acquired Avoidable Category 2 and 3 Pressure Ulcers | |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.description.version | publishedVersion | |
dc.rights.holder | © 2019 by the authors. Licensee MDPI, Basel, Switzerland | |
dc.source.pagenumber | 1-14 | |
dc.source.volume | 7 | |
dc.source.journal | Healthcare | |
dc.source.issue | 2 | |
dc.identifier.doi | 10.3390/healthcare7020059 | |
dc.identifier.cristin | 1781549 | |
cristin.unitcode | 251,3,0,0 | |
cristin.unitname | Fakultet for helsefag | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |