Pressure Ulcers

Latest Issue of OR Manager
April 2019

Munro Scale assessment helps reduce HAPI rates

Each year, more than 2.5 million adults in the US develop pressure ulcers, according to the Agency for Healthcare Research and Quality (AHRQ). These lesions bring pain, risk for serious infection, and increased healthcare utilization. Data on the costs of treatment vary, but some estimates range between $37,800 and $70,000…

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By: Judith M. Mathias, MA, RN
November 14, 2018
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Success in efforts to prevent HAPUs may depend on data sources

Editor's Note Transitioning from administrative data to chart-based surveillance review to measure hospital-acquired pressure ulcers (HAPUs) and accounting for HAPU severity could improve the validity of measures for assessing the clinical and financial impact of value-based purchasing interventions, this study finds. Assessing HAPU incidence, severity, and trends using administrative data…

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By: Judy Mathias
November 8, 2018
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Intraoperative positioning education fills knowledge void in care unit nurses

Can experience in the OR improve patient care in the postsurgical inpatient setting? Beginning last year, the OR at Temple University Hospital, Philadelphia, started its first Periop 101 program and trained six nurses from postsurgical care units to be perioperative nurses. During the program, the former care unit nurses found…

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By: Judith M. Mathias, MA, RN
October 18, 2018
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Joint Commission: Center announces project to reduce hospital-acquired pressure injuries

Editor's Note The Joint Commission Center for Transforming Healthcare is collaborating with the Johns Hopkins, Kaiser Permanente South Sacramento, and Memorial Hermann Southeast Hospitals to identify root causes of and solutions for reducing rates of hospital-acquired pressure ulcers and injuries. Following completion of the “Reducing hospital-acquired pressure injuries” project in…

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By: Judy Mathias
October 4, 2018
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Munro Scale research supports streamlining risk levels

The Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients© (Munro Scale) has made great strides in the past year. The tool, which assesses patients’ risk levels at each phase of surgery (preoperative, intraoperative, and postoperative), is available from AORN. Cassendra Munro, MSN, RN, CNOR, developed the Munro Scale and…

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By: Judith M. Mathias, MA, RN
August 21, 2018
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Joint Commission announces new advisory on pressure injuries related to medical devices

Editor's Note The Joint Commission on July 24 announced a new advisory on pressure injuries related to medical devices--including feeding or oxygen tubes, catheters, orthopedic devices, bedpans, and casts--which now account for more than 30% of all hospital-acquired pressure injuries. The Joint Commission Quick Safety, Issue 43: “Managing medical device-related…

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By: Judy Mathias
July 25, 2018
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AHRQ: Decline in HACs saves 8,000 lives, $2.9 billion

Editor's Note National efforts by the Centers for Medicare & Medicaid Services to reduce hospital-acquired conditions (HACs) helped prevent some 8,000 deaths and save $2.9 billion in costs between 2014 and 2016, according to a new report released June 5 by the Agency for Healthcare Research and Quality (AHRQ). Data…

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By: Judy Mathias
June 7, 2018
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CMUNRO SCALE created to facilitate risk assessment for pressure injuries

In 2016, after 10 years of research and validation, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) was made available for use in the perioperative setting and was added to the AORN Prevention of Pressure Ulcers Tool Kit. The Munro Scale assesses a patient’s risk level…

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By: Judith M. Mathias, MA, RN
October 19, 2017
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Joint Commission announces first Physician Leader Forum Challenge Award

Editor's Note The Joint Commission announced April 26 that Select Medical, based in Mechanicsburg, Pennsylvania, is the first recipient of its Physician Leader Forum Challenge Award. The award recognizes Select Medical’s leading practice for wound care and prevention of pressure ulcers in patients throughout the system. An improvement project lowered…

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By: Judy Mathias
April 26, 2017
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Reduced risk of pressure injuries in hospitals with WOC certified nurses

Editor's Note Hospitals that employ nurses certified in wound, ostomy, and continence (WOC) care have lower rates of hospital-acquired pressure injuries (HAPIs), finds this study. Of 928 hospital included in the analysis, 36.6% employed WOC certified nurses. Hospitals with WOC certified nurses had lower HAPI rates and better pressure injury…

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By: Judy Mathias
March 27, 2017
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