The Impact of Pediatric Pressure Injury Prevention Bundle on Pediatric Pressure Injury Rates: A Secondary Analysis

Charleen Singh, Cheryl Anderson, Earla White, Noordeen Shoqirat

Research output: Contribution to journalArticle

4 Scopus citations


PURPOSE: The primary aim of this study was to explore the relationship between a pediatric pressure injury prevention bundle (PPIPB) implemented by pediatric hospitals across the nation and pressure injury (PI) rates over a 6-year period. A secondary aim of this study was to identify whether any one risk factor addressed in the PPIPB had a greater effect on PI occurrences than any other factor.

DESIGN: Nonexperimental, retrospective correlation analysis of secondary data.

SUBJECTS AND SETTING: Analysis of data from 99 pediatric hospitals participating in the national initiative Solutions for Patient Safety (SPS).

METHODS: Data were extracted from the SPS, an initiative designed to reduce PI rates in pediatric hospitals. We analyzed data related to nursing interventions implemented to ameliorate 5 factors associated with PI development. They were presence of medical devices, moisture, immobility, skin integrity, and absence of pressure redistribution with some support surfaces. Paired t test and correlation analysis were used to determine the relationship between the use of a PPIPB and PI incidence per 1000 patient-days.

RESULTS: Findings indicated a 57% reduction in PI incidence when the PPIPB was used. A significant inverse relationship between the PPIPB and PI incidence was found. None of the 5 risk factors addressed by the PPIPB had a stronger correlation with PI occurrences than any other factor.

CONCLUSIONS: Study findings strongly suggest the use of a PPIPB decreases PI incidence in pediatric hospitals and should be considered when implementing a PI prevention program.

Original languageEnglish (US)
Pages (from-to)209-212
Number of pages4
JournalJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
Issue number3
StatePublished - May 1 2018


ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing

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