The Pressure Is On!

Methodist Hospital (San Antonio, Texas)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Added to Collection

Project Topic

Pressure injury prevention

Hospital Units

Medical Intensive Care Unit (MICU) and Medical-Surgical Intensive Care Unit (MSICU)

CSI Participants

Sonia Calica, BSN, RN
Ashlyn Gage, BSN, RN, CCRN
Esther Ossy, BSN, RN
Sarah Senger, BSN, RN, CCRN

Project Goals/Objectives

  1. To reduce unit-acquired pressure injuries by 30 percent
  2. To increase staff compliance documenting the Braden skin score in the daily assessment to 80 percent
  3. To achieve staff use of 50 percent of available interventions based on Braden skin score

Project Outcomes

  1. Delivered pressure injury prevention education to ancillary staff, who are now more active in turning and ambulating patients
  2. Reduced hospital-acquired pressure injuries (HAPIs) 50 percent according to quarterly pressure injury studies
  3. Achieved 75 percent Braden score compliance
  4. Achieved 75 percent intervention compliance
  5. These outcomes resulted in an estimated annual fiscal impact of $145,060.

Project Overview

Hospital-acquired pressure injuries (HAPIs) are an ongoing challenge in our ICUs. Our project aimed to reduce HAPI occurrence by educating bedside nurses on using the Braden Scale as a benchmark for pressure injury risk, and by implementing a skin care bundle to decrease patients’ risk for developing a pressure injury.

By empowering bedside nurses to take a more active role in preventing HAPIs, our project resulted in improved patient outcomes in our units. Going forward, we hope to develop an effective auditing tool to track trends hospital-wide, spread our interventions to other ICU units and continue to provide education to new residents.

Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.