Melhem Thabit, Varadharajan Valarmathi, Mcdonald Ian S, Al-Mutawa Mariam N, George Dyna, Thomas Dona, Chaabna Nabila, Nashwan Abdulqadir J
Nursing and Midwifery Department, Hamad Medical Corporation, Doha, QAT.
Nursing Department, Heart Hospital, Hamad Medical Corporation, Doha, QAT.
Cureus. 2025 Apr 4;17(4):e81726. doi: 10.7759/cureus.81726. eCollection 2025 Apr.
Hospital-acquired pressure injuries (HAPIs) pose a considerable challenge for healthcare systems, not only for their impact on patient well-being but also for the significant financial burden imposed on healthcare facilities. Between 2020 and 2021, Hamad Medical Corporation (HMC) reported an average of 60±5 monthly HAPI incidents, with medical devices contributing to approximately 50% of these cases. This project aimed to reduce the incidence of pressure injuries across hospital units. A quality improvement (QI) project using the Comprehensive Unit-Based Safety Program (CUSP) model was implemented to reduce HAPI incidence by 50% by September 2022. The interventions included staff training, electronic documentation review, spot audits on SSKIN (surface, skin inspection, keep moving, incontinence, and nutrition) care bundle compliance policy updates, and enhanced utilization of pressure-relieving devices. The project resulted in a 64.4% reduction in HAPI incidence, with a 66% decrease specifically in medical device-related pressure injuries. The nurse-led, evidence-based interventions significantly reduced HAPI rates across HMC facilities, demonstrating the effectiveness of targeted quality improvement efforts and offering a model that other healthcare institutions can adapt.
医院获得性压力性损伤（HAPIs）给医疗系统带来了巨大挑战，这不仅体现在对患者健康的影响上，还体现在给医疗机构带来的巨大经济负担上。在2020年至2021年期间，哈马德医疗公司（HMC）报告称，每月平均发生60±5起HAPI事件，其中约50%的病例与医疗设备有关。该项目旨在降低各医院科室压力性损伤的发生率。通过实施一项采用基于综合单元的安全计划（CUSP）模型的质量改进（QI）项目，目标是到2022年9月将HAPI发生率降低50%。干预措施包括员工培训、电子文档审查、对SSKIN（表面、皮肤检查、保持活动、失禁和营养）护理包合规政策更新的现场审核，以及增加减压设备的使用。该项目使HAPI发生率降低了64.4%，其中与医疗设备相关的压力性损伤发生率尤其降低了66%。由护士主导的循证干预措施显著降低了HMC各机构的HAPI发生率，证明了有针对性的质量改进努力的有效性，并提供了一个可供其他医疗机构借鉴的模式。
