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Hospital-Acquired Injuries: Device-Related Pressure Ulcers, Falls, and Restraints

  • Stefano Bambi
Chapter

Abstract

Among nurse-sensitive outcome indicators, there are “patient falls” and “pressure ulcers.” Some private institutions such as the National Quality Forum consider fundamental also the measure of “restraint prevalence.” So, pressure sores (and device-related pressure ulcers), patient falls, and resorting to physical restraints (with related injuries) can be all collected under an idea that overcomes the generic “iatrogenic complications” concept, to embrace the more appropriate definition of “nursing-induced complications,” originating a new terminology: “hospital-acquired injuries (HAInj).” The cross trajectories of device-related pressure ulcers, falls, and physical restraints should be traced, and their cause-effect relationships need to be explored and faced by the nursing staff in critical care settings. In fact, it’s intuitive to draw a bidirectional vicious circle involving patient’s agitation, physical restraints, device pressure ulcer, and falls from ICU beds. More research is needed to find effective measure in prevention of falls from bed and chairs, alternative intervention to physical restraints, and optimal management of medical device to reduce the risk of pressure ulcers induced by their application.

Keywords

Iatrogenic disease Equipment and supplies Pressure ulcer Accidental falls Physical restraints Ethics 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Stefano Bambi
    • 1
  1. 1.Emergency and Trauma ICU, University Hospital CareggiFlorenceItaly

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