PUs, recently known as pressure injuries, 4- 6 are defined as skin injuries and/or underlying tissue damage localised over a bony prominence, resulting from pressure force and/or pressure combined with shear. 1- 3 Hospital-acquired PUs are one of the most harmful events in the clinical context. These results provide an overview of effective approaches that should be considered when establishing evidence-based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.ĭespite all advances in health care, pressure ulcers (PUs) remain an old worldwide public health problem related to patient safety. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. PUs in the hospital context are still a worldwide issue related to patient safety. Risk-assessment tools are not effective in preventing PUs. Repositioning only was effective when supported by technological pressure-mapping feedback or by a patient positioning system. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on-screen inpatient care plan were effective in decreasing PUs. Studies were selected if they were published in English, French, Portuguese, or Spanish incidence of PUs was the primary outcome participants were adults (≥18 years) admitted in hospital wards and/or units. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated.
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