Low-Tech Procedures Reduce Bed Sores By 70%

A group of 150 New Jersey (USA) hospitals, nursing homes, and health care agencies managed to reduce the number of patients with bedsores by 70%, mostly by using low-tech interventions, reports a new study.

Researchers at the New Jersey Hospital Association (NJHA, Princeton, USA) found that the initiative decreased the number of patients with bedsores -- caused by unrelieved pressure or friction on skin -- from 18% in September 2005 to 5% in May 2007. In addition, 48 of the institutions reported that none of their patients has had a bedsore in the first quarter of 2007. Common improvement techniques included: complete skin evaluation within eight hours of admission; evaluation of the risk of skin breakdown using the internationally respected Braden scale; implementation of preventive strategies, such as proper positioning and use of assistive devices; and ongoing observation of the condition of patients' skin, particularly for those identified as being at high risk for developing a pressure ulcer.

"While the steps needed to prevent bedsores are basic, many hospitals are not taking them because staffing is tight and because patients are being admitted to the hospital in greater numbers with more serious conditions,” said Aline Holmes, senior vice president of clinical affairs for the NJHA. "In addition, hospital stays are shorter, leaving less time for evaluations.” Calling the initiative's results amazing”, she added, "We just need to get back to basics.”


Related Links:
New Jersey Hospital Association