Hospital-Acquired Pressure Injuries (HAPIs) are a significant concern, particularly in critical care departments where patients are often less mobile and at higher risk due to disease processes. In 2023, KP SFO was leading NCAL region for highest HAPI Rates. In November 2023, 40% of KP SFO HAPI were from Critical Care Units (ICU: 29.8% and CVICU: 10%). Reducing HAPIs is directly aligned with the department’s goal of improving patient outcomes, increasing patient safety, and reducing the hospital’s overall health care costs associated with pressure injuries. The adult critical care department, led by Liz Ramirez, BSN, CCRN, SN IV, implemented targeted strategies with goal of reducing department HAPI incidences by 30% for 2024 while enhancing early identification and treatment of high-risk patients by:
- Providing staff education on HAPI prevention SSKKIN bundle.
- Implementing “4eyes in 4hrs” 2RN skin assessment.
- Changing CVICU/ICU patient 2RN skin assessment minimum frequency to daily.
- Utilizing advanced technologies (.CCSKIN smartphrase).
