Pressure Ulcers

Latest Issue of OR Manager
June 2021

Joint Commission conducting both virtual and onsite surveys in 2021

The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…

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By: Judith M. Mathias, MA, RN
February 17, 2021
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ACS NSQIP risk calculator predicts four outcomes for geriatric surgical patients

Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator accurately predicted four quality-of-life outcomes that transcend traditional measures of successful surgery and now reflects the expected effects of surgery on an older patient’s ability to function independently, finds this study presented October…

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By: Judy Mathias
November 5, 2019
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Say goodbye to skin injuries in surgical patients

Hospital-acquired pressure injuries (HAPIs) fall under the care management serious event category, and the literature suggests the incidence of a pressure injury following surgery or a procedure may contribute to more than half of all hospital-related skin injuries. Furthermore, the Centers for Medicare & Medicaid Services (CMS) has defined numerous…

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By: Heather Kooiker, MSN, RN, CNL, CNOR, CRNFA
September 23, 2019
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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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