Evidence map›Paper›PMID 31523723›Full record

ArticleBMJ open quality2019

Reducing pressure ulcers across multiple care settings using a collaborative approach.

Julia Wood, Bob Brown, Annette Bartley, Andreia Margarida Batista Custódio Cavaco, Anthony Paul Roberts, Karla Santon, Susannah Cook

2 registry-linked trialsAbstract read
In one paragraph

Article in BMJ open quality, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05564975 unknown statusnot on this mapstarted 2022, after this paper: background citation

Construction and Application of Pressure Injury Risk Prediction Model for Critically Ill Patients Based on Machine Learning Algorithm

Typeobservational_patient_registrySponsorYang ChaonanRan2022 to 2022Enrolled350ConditionsPressure Injury, Critically Ill Patients, Risk Factors, Machine Learning Algorithms
NCT06726486 phase4completednot on this mapstarted 2022, after this paper: background citation

Use of a Hypercaloric and Hyperprotein Supplement Enriched with Immunonutrients in Multi-pathological Malnourished Patients to Improve the Incidence and Prevalence of Pressure Sores: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CadizRan2022 to 2023Enrolled69ConditionsMultimorbidity, Comorbidity, Malnutrition, Pressure Ulcer PreventionArmsAtémpero, Control (Standard treatment)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julia WoodPatient Safety Collaborative, Academic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.
Bob BrownQuality and Transformation, South Tyneside NHS Foundation Trust/City Hospitals Sunderland, NHS Foundation Trust (South Tyneside and Sunderland Healthcare Group), South Shields, United Kingdom.
Annette BartleyAcademic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.
Andreia Margarida Batista Custódio CavacoAcademic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.
Anthony Paul RobertsPatient Safety Collaborative, Academic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.ORCID 0000-0002-0776-6071
Karla SantonAcademic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.
Susannah CookAcademic Health Science Network for North East and North Cumbria, Newcastle-upon-Tyne, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the UK, over 700 000 patients are affected by pressure ulcers each year, and 180 000 of those are newly acquired each year. The occurrence of pressure ulcers costs the National Health Service (NHS) more than 3.8 million every day. In 2004, pressure ulcers were estimated to cost the NHS £1.4-£2.4 billion per year, which was 4% of the total NHS expenditure. The impact on patients can be considerable, due to increased pain, length of hospital stay and decreased quality of life. However, it is acknowledged that a significant number of these are avoidable. In early 2015, it was identified that for the North East and North Cumbria region the incidence of pressure ulcers was higher than the national average. Because of this, a 2-year Pressure Ulcer Collaborative was implemented, involving secondary care, community services, care homes and the ambulance service, with the aim of reducing the percentage of pressure ulcers developed by patients within their care. The Breakthrough Series Collaborative Model from the Institute for Healthcare Improvement provided the framework for this Collaborative. In year 1, pressure ulcers were reduced by 36%, and in year 2 by 33%, demonstrating an estimated cost saving during the lifespan of the Collaborative of £513 000, and a reduction in the number of bed days between 220 and 352.

Indexed as

breakthrough groupscollaborativehealthcare quality improvementPDSAquality improvementquality improvement methodologies

Identifiers

PMID31523723
PMCPMC6711432

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.