PMID- 29092870
OWN - NLM
STAT- MEDLINE
DCOM- 20180730
LR  - 20180730
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 26
IP  - 6
DP  - 2017 Nov
TI  - Specialty Linens and Pressure Injuries in High-Risk Patients in the Intensive
      Care Unit.
PG  - 474-481
LID - 10.4037/ajcc2017530 [doi]
AB  - BACKGROUND: The cardiovascular and surgical intensive care units had the highest 
      unit-acquired pressure injury rates at an institution. Patients in these units
      had multiple risk factors for pressure injuries. Various interventions had been
      used to minimize pressure injuries, with limited results. OBJECTIVES: To evaluate
      the effect of specialty linens on the rate of pressure injuries in high-risk
      patients. The specialty linen was a synthetic silklike fabric that addressed the 
      microclimate surrounding the patient, with the purpose of minimizing friction,
      shear, moisture, and heat. METHODS: The specialty linen was tried on 24 beds in
      the cardiovascular intensive care unit and 20 beds in the surgical intensive care
      unit, including sheets, underpads, gowns, and pillow cases. Data obtained from a 
      retrospective review of electronic health records were compared for 9 months
      before and 10 months after specialty linens were implemented. RESULTS: Total
      unit-acquired pressure injury rates for both units combined declined from 7.7% (n
      = 166) before to 5.3% (n = 95) after the intervention. The intervention was
      associated with a significant reduction in posterior (coccyx, sacrum, back,
      buttock, heel, and spine) pressure injury rates, from 5.2% (n = 113) before to
      2.8% (n = 51) after specialty linens were implemented (P < .001). CONCLUSION:
      Addressing the microclimate, friction, and shear by using specialty linens
      reduces the number of posterior pressure injuries. The use of specialty linens in
      addition to standard techniques for preventing pressure injuries can help prevent
      pressure injuries from developing in high-risk patients in intensive care units.
CI  - (c)2017 American Association of Critical-Care Nurses.
FAU - Freeman, Regi
AU  - Freeman R
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan. colthorp@med.umich.edu.
FAU - Smith, Andrew
AU  - Smith A
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan.
FAU - Dickinson, Sharon
AU  - Dickinson S
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan.
FAU - Tschannen, Dana
AU  - Tschannen D
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan.
FAU - James, Shandra
AU  - James S
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan.
FAU - Friedman, Candace
AU  - Friedman C
AD  - Regi Freeman is a clinical nurse specialist in the cardiovascular intensive care 
      unit, Samuel and Jean Frankel Cardiovascular Center, University of Michigan
      Health System, and a member of the clinical adjunct faculty, University of
      Michigan School of Nursing, Ann Arbor, Michigan. Andrew Smith is a staff nurse in
      the cardiovascular intensive care unit, Samuel and Jean Frankel Cardiovascular
      Center, Sharon Dickinson is a clinical nurse specialist in the surgical intensive
      care unit, and Candace Friedman is a senior project manager, Office of Clinical
      Safety, University of Michigan Health System, Ann Arbor, Michigan. Dana Tschannen
      is a clinical associate professor, vice chair of the Department of Systems,
      Population and Leadership, and director of the post-Master's DNP program, and
      Shandra James is a clinical assistant professor, University of Michigan School of
      Nursing, Ann Arbor, Michigan.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
RN  - 0 (Silk)
SB  - IM
SB  - N
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Bedding and Linens
MH  - Cardiovascular Nursing/*methods
MH  - *Clothing
MH  - Critical Care/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Perioperative Nursing/*methods
MH  - Pressure Ulcer/*prevention & control
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Silk
MH  - Young Adult
EDAT- 2017/11/03 06:00
MHDA- 2018/07/31 06:00
CRDT- 2017/11/03 06:00
PHST- 2017/11/03 06:00 [entrez]
PHST- 2017/11/03 06:00 [pubmed]
PHST- 2018/07/31 06:00 [medline]
AID - 26/6/474 [pii]
AID - 10.4037/ajcc2017530 [doi]
PST - ppublish
SO  - Am J Crit Care. 2017 Nov;26(6):474-481. doi: 10.4037/ajcc2017530.