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- Title
Customized Silicone Foam Dressing Under Noninvasive Ventilation and Skincare Bundle to Reduce Hospital-Acquired Pressure Injuries in Neonates.
- Authors
O'Neil, Amanda; Schumacher, Bette; Dorr, Sarah; Jarding, Laura
- Abstract
In a sixty-eight-bed level-IV NICU, an increased incidence of hospital-acquired pressure injuries (HAPIs) from noninvasive ventilation (NIV) devices was identified. The aim of this quality improvement project was to decrease HAPIs from NIV by 10%. A literature review and the Plan–Do–Study–Act were implemented. The intervention included a customized silicone foam dressing under NIV, an NIV skincare bundle, and multidisciplinary support. Hospital-acquired pressure injury rates were tracked over 3 years postinterventions. The incidence of HAPIs declined by 20% from 0.2 per 1,000 patient days to 0.05 per 1,000 patient days. Relative risk was 4.6 times greater prior to intervention (p =.04). Continuous positive airway pressure (CPAP) failure was not noted and measured by the percentage of patients on ventilators pre- and postintervention. Customized silicone foam dressings under NIV, NIV skincare bundle, and multidisciplinary team support may decrease HAPIs in neonates without CPAP failure.
- Subjects
SILICONES; FOAMED materials; SKIN care; HOSPITAL care; NEONATAL intensive care units; NEONATAL intensive care; SURGICAL dressings; QUALITY assurance; PRESSURE ulcers; HEALTH care teams; CHILDREN
- Publication
Neonatal Network, 2024, Vol 43, Issue 3, p165
- ISSN
0730-0832
- Publication type
Article
- DOI
10.1891/NN-2023-0070