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Pressure Redistribution Crib Mattress

A Quality Improvement Project

Singh, Charleen Deo; Shoqirat, Noordeen

Journal of Wound Ostomy & Continence Nursing: January/February 2019 - Volume 46 - Issue 1 - p 62–64
doi: 10.1097/WON.0000000000000500
Challenges in Practice

BACKGROUND: Selective use of pressure-redistributing support surfaces is considered an essential component of a pressure injury prevention bundle. Critically ill children who are too big for an isolette but too little for a bed are usually placed in critical care cribs that have unique features such as moveable side rails and a built-in scale for weighing the patient, but they do not have a mattress designed to redistribute pressure. The primary aim of this quality improvement project was to evaluate a pressure redistribution mattress designed for use in critical care cribs.

CASES: We retrospectively reviewed 22 charts of critically ill pediatric patients who participated in a product trial completed over a 12-week period in a stand-alone children's hospital in the Western United States. We reviewed demographic data, skin assessments, Braden Q Scale score, and support surface use. Our review revealed no pressure injury occurrences over the 12-week data collection period.

CONCLUSIONS: Findings from this quality improvement project suggest that the pressure-redistributing mattress, when used as part of an intervention bundle, prevents pressure injuries in critically ill pediatric patients.

Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, Sacramento, California; San Jose State University Wound Ostomy Program, San Jose, California; and Cottage Hospital, Santa Barbara, California.

Noordeen Shoqirat, PhD, RN, Mutah University, Karak, Jordan.

Correspondence: Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, 2570 48th St, Sacramento, CA 95817 (

The authors declare no conflicts of interest.

© 2019 by the Wound, Ostomy and Continence Nurses Society.