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Tracking pressure injuries as adverse events: National use of the Global Trigger Tool over a 4-year period
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Reg Gavleborg, Gavle, Sweden.
Malmo Univ, Malmo, Sweden.
Swedish Assoc Local Author & Reg, Stockholm, Sweden.
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2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, no 1, p. 21-27Article in journal (Refereed) Published
Abstract [en]

Aim: To examine the frequency, preventability, and consequences of hospital acquired pressure injuries in acute care hospitals over a 4-year period.

Method: A retrospective record review was performed using the Swedish version of the Global Trigger Tool (GTT). A total of 64 917 hospital admissions were reviewed. Data were collected between 2013 and 2016 from all 63 Swedish acute care hospitals.

Results: The prevalence of pressure injuries (category 2-4) was 1%. Older patients, "satellite patients", and patients with acute admissions had more pressure injuries. Most pressure injuries (91%) were determined to be preventable. The mean extended length of hospital stay was 15.8 days for patients who developed pressure injuries during hospitalization.

Conclusion: The GTT provides a useful and complementary national perspective on hospital acquired pressure injuries across hospitals, informing health care providers on safety priorities to reduce patient harm. Clinical leaders can use information on the preventability and the consequences of pressure injuries, as well as evidence-based arguments for improving the health care organization.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 25, no 1, p. 21-27
Keywords [en]
adverse events, Global Trigger Tool, patient safety, pressure injury
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-375215DOI: 10.1111/jep.12996ISI: 000455270400004PubMedID: 30027549OAI: oai:DiVA.org:uu-375215DiVA, id: diva2:1284140
Available from: 2019-01-31 Created: 2019-01-31 Last updated: 2019-01-31Bibliographically approved

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Gunningberg, LenaSving, Eva

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