Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia

Publication date: Available online 4 October 2017
Source:Journal of Tissue Viability
Author(s): Michelle Barakat-Johnson, Catherine Barnett, Timothy Wand, Kathryn White
AimTo examine and explore medical device-related pressure injuries in an 800-bed tertiary hospital.Materials and methodsAn exploratory descriptive study design was employed. A prospective review of all data on reported hospital-acquired pressure injuries was conducted on a weekly basis from July 2015 to August 2016. This included a patient assessment and medical record review as well as brief semi-structured interviews with nurses.ResultsThe overall incidence of medical device-related pressure injuries was 27.9% (50/179) with the majority (68%, 34/50) occurring in intensive care. The most common cause of a medical device-related pressure injury was oxygen tubing behind ears (n = 21) and endotracheal tubes (n = 13). Nurses were unaware of the implications of medical devices in contact with the skin and patient medical records did not present a valuable source of information in relation to pressure injury prevention.ConclusionMedical device-related pressure injuries were represented in 27.9% of our entire patient cohort; primarily occurring on the ear from oxygen tubing and on the mouth from endotracheal tubes in patients in intensive care. Additional support, education and monitoring for nurses at a local level on the prevention of medical device-related pressure injuries is necessary to prevent their occurrence. Furthermore, consensus on the classification and reporting of medical device-related pressure injuries is still in development, making reporting and monitoring challenging. Medical device-related pressure injuries are a continuing clinical issue that requires further exploration.