Objective:

To evaluate the implementation of the good practice guide: risk assessment and prevention of pressure ulcers in a hospital environment, in the internal medicine unit of the University Hospital Fundación Alcorcón of the Community of Madrid.

Methodology:

a quasi-experimental, pre-post study in which indicators are evaluated before (2017) and after (2019) the implementation of the good practice guide. Variables: incidence rate of pressure injuries, assessment and reassessment of the risk of pressure injuries, application of pressure control surfaces in patients at risk of pressure injuries, time of development of pressure injuries, and categories of injuries developed.

Results:

the analyzed sample consists of 764 patients. The incidence rate of pressure injuries in 2017 was a 2.70%; a 6,1% in 2018 and a 4,1% in 2019. The risk assessment of pressure injuries in 2017 was 98,57%, compared to 94,3% in 2019. Regarding the reassessment, it goes from a 0% before the implementation a 96.49% after. The application of special surfaces for handling pressure in 2017 was a 7.69%, and a 70,67% at the end of 2019.

Conclusions:

a decrease of the incidence rate in the development of pressure injuries during the patients’ admission, a significant increase in the reassessment of the patients at risk of pressure injuries and in the use of special surfaces for handling pressure.

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