Data collected through Minnesota's mandatory statewide reporting system indicate that prevention of hospital-acquired pressure ulcers continues to be a challenge, particularly for patients who require the use of stabilization collars or other immobilizers, respiratory equipment, orthotics, and tubing. This article describes the process of identifying a pattern of device-related pressure ulcers through statewide pressure ulcer reports and developing a set of recommendations for prevention.
Patient Safety, Minnesota Hospital Association (Ms Apold); and Division of Health Policy, Department of Health (Ms Rydrych), St Paul, Minnesota.
Correspondence: Diane Rydrych, 85 E 7th Place, Ste 220, St Paul, MN, 55164 (Diane.firstname.lastname@example.org).
The authors declare no conflict of interest.
Accepted for publication: July 1, 2011.
Published online before print: August 5, 2011.