Reporting of pressure ulcers and medical device related pressure ulcers in policy and practice:: A narrative literature review
Reporting of pressure ulcers and medical device related pressure ulcers in policy and practice:: A narrative literature review
Pressure ulcers (PUs) occur in a range of care settings, resulting in reduced quality of life for the individual. There has been a growing awareness that medical devices can cause PUs, although reporting has been limited. There is a need to evaluate PU reporting practice and identify whether standards exist for medical device-related pressure ulcers (MDRPUs).
Aim
To synthesise academic and grey literature relevant to reporting of PUs and MDRPUs in healthcare settings.
Methods
A systematic search of multiple scientific and grey literature databases was undertaken. Key search terms and Boolean operators were used to identify relevant literature. All sources of evidence discussing reporting practices were included in a synthesis. Primary topics are discussed in the corresponding analysis.
Results
Thirty-one evidence sources met the inclusion criteria, including 16 journal articles and 15 policy and guidance documents. The results revealed a variation in reporting practices. MDRPUs were often not identified as a separate category in local and national systems. Policies for related patient safety reporting varied across all organisational levels, with more serious categories of PUs reported more consistently. Reporting to medical device regulatory bodies was not mandatory.
Conclusion
This narrative review identified inconsistencies in local and national reporting of PUs and MDRPUs, prohibiting meaningful comparisons and improvements in patient safety. Lack of specific medical device data and low levels of voluntary reporting to regulatory bodies is likely to result in an under-reporting, with little evidence of specific devices which may be a patient safety concern.
Crunden, Ewa, Agnieszka
6a86a4e8-9b46-48e6-8e88-343441cbe7a6
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Coleman, Susanne B
350bf039-e048-4654-87fe-36f435921d29
Worsley, Peter
6d33aee3-ef43-468d-aef6-86d190de6756
Crunden, Ewa, Agnieszka
6a86a4e8-9b46-48e6-8e88-343441cbe7a6
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Coleman, Susanne B
350bf039-e048-4654-87fe-36f435921d29
Worsley, Peter
6d33aee3-ef43-468d-aef6-86d190de6756
Crunden, Ewa, Agnieszka, Schoonhoven, Lisette, Coleman, Susanne B and Worsley, Peter
(2021)
Reporting of pressure ulcers and medical device related pressure ulcers in policy and practice:: A narrative literature review.
Journal of Tissue Viability.
(doi:10.1016/j.jtv.2021.10.010).
Abstract
Pressure ulcers (PUs) occur in a range of care settings, resulting in reduced quality of life for the individual. There has been a growing awareness that medical devices can cause PUs, although reporting has been limited. There is a need to evaluate PU reporting practice and identify whether standards exist for medical device-related pressure ulcers (MDRPUs).
Aim
To synthesise academic and grey literature relevant to reporting of PUs and MDRPUs in healthcare settings.
Methods
A systematic search of multiple scientific and grey literature databases was undertaken. Key search terms and Boolean operators were used to identify relevant literature. All sources of evidence discussing reporting practices were included in a synthesis. Primary topics are discussed in the corresponding analysis.
Results
Thirty-one evidence sources met the inclusion criteria, including 16 journal articles and 15 policy and guidance documents. The results revealed a variation in reporting practices. MDRPUs were often not identified as a separate category in local and national systems. Policies for related patient safety reporting varied across all organisational levels, with more serious categories of PUs reported more consistently. Reporting to medical device regulatory bodies was not mandatory.
Conclusion
This narrative review identified inconsistencies in local and national reporting of PUs and MDRPUs, prohibiting meaningful comparisons and improvements in patient safety. Lack of specific medical device data and low levels of voluntary reporting to regulatory bodies is likely to result in an under-reporting, with little evidence of specific devices which may be a patient safety concern.
Text
Related Pressure Ulcers in policy and practice A narrative literature review
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Accepted/In Press date: 20 September 2021
e-pub ahead of print date: 11 December 2021
Additional Information:
Acknowledgements
EAC - PhD funded by the University of Southampton; PRW - EPSRC-NIHR Medical Device and Vulnerable Skin Network (EP/N02723X/1); LS - None to declare; SBC - None to declare.
Identifiers
Local EPrints ID: 452748
URI: http://eprints.soton.ac.uk/id/eprint/452748
ISSN: 0965-206X
PURE UUID: 325c1a8f-0cb2-485e-a8a4-470d166da6ea
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Date deposited: 17 Dec 2021 18:17
Last modified: 17 Mar 2024 06:58
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Contributors
Author:
Ewa, Agnieszka Crunden
Author:
Susanne B Coleman
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