Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 5 Issue 12

Using the Braden Scale and NICE Pressure Ulcer Guidelines to Reduce the Burden and Costs of Pressure Ulcers

Abdulaziz Bin Rsheed, Abood Albood, Bandar Khalid Alsuliman, Majed Abdullah Alhojailan, Maha Moharram, Medhat Maher, Tarek Elsaid and Mostafa Kofi*

Consultant, Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

*Corresponding Author: Mostafa Kofi, Consultant, Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Received: October 29, 2021; Published: November 19, 2021

Abstract

Background: Home Health Care services (HHC), provided by the Family and Community Medicine Department at Prince Sultan Military Medical City (PSMMC) is one of the largest home health care organizations in Saudi Arabia. Pressure ulcers were selected in 2017 as one of the top priority areas for quality improvement in relation to its cost and reoccurrence among the patients and health care services.

Aim: The goal of this quality improvement project is to evaluate the effectiveness of risk assessment and preventive management plan for pressure ulcers prevention among patients admitted to HHC, PSMMC.

Methods: We used the Braden Scale to assess patient risk for possible development of pressure ulcers, and from this a preventive action plan was adopted from Nice Guideline 2018 according to the patient level of risk.

Results: Over the 6-month duration of the study in which we used the Braden Scale, we saw a six percent decrease in the incidence of pressure ulcers. As for the duration of care, this study saw a reduction from 4 months of care per ulcer to only 1.67 months of care per ulcer. We estimate PSMMC would save more than $22 million annually using these measures.

Conclusion: The incidence rate of pressure ulcer development improved compared to patients without implementation of the program. Overall burdens, including time and financial costs, are reduced.

Recommendations: This quality improvement program emphasizes proactive risk assessment, management plan, staff development, and patient care education to help in the active prevention of pressure ulcers. Further assessment of the outcomes of this program is advised in relation to cost benefit outcome of these care programs on a longer timeline.

Keywords: Bed Ulcers; Quality Improvement; Reduction

References

  1. National Pressure Ulcer Advisory Panel., et al. “Pressure Ulcers in America: Prevalence, Incidence, and Implication for the Future”. Reston, VA: NPUAP; (2001).
  2. Saleh M., et al. “The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients”. Journal of Clinical Nursing 18 (2009): 1923-1929.
  3. Gunningberg L., et al. “Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: A descriptive, comparative multicentre study in Sweden”. International Wound Journal 12 (2015): 462-468.
  4. Sullivan N and Schoelles KM. “Preventing in-facility pressure ulcers as a patient safety strategy: A systematic review”. Annals of Internal Medicine5-2 (2013): 410-416.
  5. Ayello Elizabeth A and Braden Barbara. “Advances in Skin and Wound Care”. Clinical Management Extra: CE: Pressure Ulcers 15.3 (2002): 125-131.
  6. Dr Hasnah Ben Erfan Banjar., et al. “Effectiveness of prevention and management of pressure ulcers, as" a patient safety issues” among bed ridden Patients at University Hospital in Jeddah, Saudi Arabia”. Journal of American Science 1 (2012): 1.
  7. Darlene Hanson., et al. “The prevalence and incidence of pressure ulcers in home care: Are patients at risk?” Home Health Care Management Practice 5 (1993): 25.
  8. “Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane Reviews and network meta‐analysis”. Cochrane Database of Systematic Reviews8 (2021): CD013761.
  9. “Alternating pressure (active) air surfaces for preventing pressure ulcers”. Cochrane Database of Systematic Reviews 5 (2021): CD013620.
  10. Elizabeth McInnes., et al. “Support surfaces for pressure ulcer prevention”. Cochrane Database of Systematic Reviews 9 (2015): CD001735.

Citation

Citation: Mostafa Kofi., et al. “Using the Braden Scale and NICE Pressure Ulcer Guidelines to Reduce the Burden and Costs of Pressure Ulcers”.Acta Scientific Medical Sciences 5.12 (2021): 136-141.

Copyright

Copyright: © 2021 Mostafa Kofi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is August 15, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US