Supporting Evidence

Featured Items

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  Pressure Ulcer Risk in the Incontinent Patient

  Lachenbruch C | Journal of Wound, Ostomy & Continence Nursing | 2016

  This article is an analysis of incontinence and pressure ulcers from the International Pressure Ulcer Prevalence™ Survey. It concludes that incontinent patients had higher Braden Scale scores and higher overall and facility-acquired pressure ulcer prevalence. Incontinence was associated with an increased risk for all pressure ulcers, but especially full-thickness injuries.

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  An Environmental Scan for Early Mobilization Practices in U.S. ICUs

  Bakhru RN, et al. | Critical Care Medicine | 2015

  This article discusses the findings of a survey concerning early mobilization practices and infrastructure in ICUs within the United States. The authors found that only 30% of US ICUs have a written early mobilization protocol. The authors also found that common barriers to mobilization include safety concerns, staffing levels, and competing priorities. They conclude that written early mobility protocols are uncommon, infrastructure is limited, and regional differences exist.

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  Clinical and Psychologic Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study

  Klein K, et al. | Critical Care Medicine | 2014

  In this study in Cleveland Clinic's Neuro ICU, an early mobility program was used to mobilize 637 patients during a pre/post study. The authors found that with an early mobility program, patients had shorter ICU and hospital length of stay (LOS), were more likely to be discharged home, and had fewer complications including decreased bloodstream infections, hospital-acquired pressure ulcers, and anxiety.

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  Identifying the Right Surface for the Right Patient at the Right Time - Generation and Content Validation of an Algorithm for Support Surface Selection

  McNichol L., et al. | Journal of Wound, Ostomy & Continence Nursing | 2015

  A consensus conference was held to fill the void in clinical literature as to the appropriate surface technology to prevent or treat pressure ulcers.  Although the literature is clear that technology may help, no specific guidance yet exists on which surfaces are appropriate for th right patient and the right time.  This article lays the foundation for how the expert consensus panel researched, deliberated and created an algorithm for support surface selection.  It provides the first known consenses based algorithm for pressure ulcer prevention and treatment in press.

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  Beyond the Falling Star: Sustained Decreases in Falls and Injuries with Targeted Bed Exit Alarm, Staff Education Icons, and Patient Education Video

  Cuttler, et al. | CALNOC | 2015

  Fall injuries among hospitalized inpatients are one of the most common hospital-acquired conditions. This study aimed to improve patient and staff awareness of falls through "falling star" icons and staff and patient education videos while, also examining the relationship between fall reduction and use of an integrated three-mode-bed-exit alarm. Over the course of 1,000 patient days, serious fall injuries were reduced by 58%. The patient education video and individualized "falling star" icons were associated with decreases in falls and fall-related injury.   

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  Fall prevention and bathroom safety in the epilepsy monitoring unit

  Spritzer SD, et al. | Epilepsy & Behavior | 2015

  Falls are one of the most common adverse events in the epilepsy monitoring unit, however, little is known regarding effectiveness of specific interventions due to variation in protocols and procedures between institutions. Over the course of 12 years, Mayo Clinic Arizona initiated several interventions to decrease falls and improve patient and caregiver safety resulting in a trend of decreasing fall frequency. However, no specific intervention could be identified as having a high impact on fall rates until the MasterVest™ ceiling lift system was put in place for use in all EMU patients when out of bed. Over 15 months after adopting the ceiling lift system, no falls occurred; preventing an expected 2.13 falls a year.

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