Reducing Respiratory Device–Related Pressure Injuries in High-Acuity Patients: A Quality Improvement Project

Author(s): Julie A. Gray, DNP, MSN, RN, AGACNP-BC, Katie R. Brooks, DNP, AGPCNP, Amanda Eltz, DNP, NP-C, CWOCN, Staci S. Reynolds, PhD, RN, ACNS-BC, CPHQ, Tracey L. Yap, PhD, RN, WCC, CNE

Contact Hours 1.00

CERP A 1.00

Expires Jun 01, 2029

Topics: Pulmonary, Skin/Wound Care, Patient Safety

Fees
Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Medical device–related pressure injuries (MDRPIs) make up about 30% of hospital-acquired pressure injuries and are especially common in ICU and PCU patients because of device use, hemodynamic instability, and vasoactive medications. The highest-risk devices are noninvasive mechanical ventilation interfaces, followed by nasal high‑flow oxygen systems. This quality improvement project used plan–do–study–act cycles to implement a standardized prevention bundle, emphasizing barrier dressings under continuous respiratory devices through education, workflow improvements, and optimized supplies. Monthly respiratory device–related injury rates were monitored with statistical process control charts to identify trends and guide ongoing refinement.

Objectives

  • Identify patients at highest risk for respiratory device–related pressure injuries in high-acuity ICU and PCU settings.
  • Describe evidence-based preventive barrier dressing strategies for continuous respiratory devices (NIMV, high-flow oxygen, tracheostomy).
  • Evaluate how a PDSA-guided prevention bundle affects respiratory MDRPI rates and staff compliance with intervention and documentation

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.