Aim: Reduce the number of avoidable harm caused by trust attributable pressure ulcers by March 2017 from our April 2015 baseline by Stage 2 30%, Stage 3 50% and Stage 4 50%
Throughout 2009 the Trust had a reported 326 Hospital acquired pressure ulcers, with an estimated cost, using DoH calculation, of between £1.73million and £2.1million. We also know, from hospital numbers reported in the monthly point prevalence audit, that both hospital and non hospital acquired pressure ulcers have not always been reported via the incident reporting systems in place within the Trust. Besides creating significant difficulties for patients, carers and families, pressure ulcers also increase the length of time spent in hospital and therefore cost to the Trust.
The aim of the High Impact Action (HIA) – Your Skin Matters was ‘no avoidable pressure ulcer in NHS provided care’.
As a Trust we take the development of hospital acquired pressure ulcers seriously, and are working hard to reduce the incidence of these. The Trust is committed to reducing the prevalence of hospital acquired pressure ulcers and embedding cultural change through clinical ownership at ward level. Several initiatives have been undertaken over the last 4 years, from improved reporting, robust data analysis, staff education, set criteria within the nursing care indicators, meetings with the Director of Nursing of areas that develop stage 4 hospital acquired pressure ulcers and Assistant Director of Nursing for Stage 3 pressure ulcers. The purpose of these meetings has been to establish why these pressure ulcers occurred, and identify lessons learned in order to continuously improve patient safety.
Building on this work the Trust has identified as part of its 2020 Strategy that achieving eradication of all avoidable pressure ulcers is a quality goal.
The Trust is proud of the work already carried out with regards Pressure Ulcer Prevention, and has an incidence rate below national average, for prevalence of new pressure ulcers both acute, community and combined medians are below the national median. Pressure ulcers however, account for approximately 60% of our organisations harms to patients, we therefore recognise that there are still improvements to make in order to reduce patient harm further and improve their outcome.
The national median for old and new pressure ulcers is 4.655%. The improvements made to date have seen us in April 2014 attain prevalence median of 4.8% as an integrated organisation, we recognise however, that whilst the acute services have a prevalence median of 3.995%, the Adult & Long Term Conditions (formerly community services) have a median of 5.69%. Therefore the focus in the coming year must be on sustaining the current position from an acute setting and making improvements where possible, and focussing on implementing improvement processes into the community setting.
See our latest campaign to combat pressure ulcers here:
Pressure Ulcer Awareness Day Leaflet