Experts agree that prevention measures are essential to reducing the occurrence of pressure ulcers. Still, the literature suggests that implementation of prevention interventions is not always what it should be,1 is sometimes unrelated to risk assessment data,2 and at times is haphazard and erratic.3 Although somewhat loosely described, prevention intervention problems (PIPs) are obvious.
The Institute of Medicine Report on Keeping Patients Safe4 suggests that preventable conditions such as pressure ulcers might occur as a result of errors of planning (not knowing what to do) or errors of execution (knowing but not implementing a plan of action). Whether PIPs occur as a consequence of errors of planning, errors of execution, or some combination of both is not entirely clear. Moreover, little is known about PIPs beyond the fact that they continue to occur despite widespread (and often creative) efforts to introduce pressure ulcer prevention protocols and educate caregivers in their use.... continue reading about Can We Talk?: Prevention Intervention Problems