SSKIN care bundle
The SSKIN Care Bundle is a powerful tool as it defines and ties
best practices together. The bundle also makes the actual process
of preventing pressure ulcers visible to all. This minimises
variation in care practices.
A process is a series of actions which are required in order to
achieve a desired outcome (such as a reduction in the number of
pressure ulcers). Reliably delivering all elements of the care
bundle at every care opportunity, will improve the pressure area
care that a person receives. This will have impact on improving
As part of an American healthcare initiative, representatives
from the Institute for Healthcare Improvement and Ascension
Health together developed a blueprint for change in pressure
The results of this work, together
with discussions with clinical and quality improvement colleagues,
highlighted that the element of skin inspection (accounting for the
second ‘S’ – SSKIN) should be brought to the fore.
By checking the skin more regularly when delivering best
practices, early signs of pressure damage will be identified
sooner by staff.
In order to know if people are complying with a process, it is
useful to measure if they are.
Building on the improvement work of Annette Bartley (who is an
independent Consultant), a simple tool to measure process
compliance has been developed, tested and adapted (see Compliance
It is useful to collect process compliance data in real time (ie
on the day you check the care bundle charts) as this enables
continuous improvements to be made at the time, based on the data
Published Date: 15 April 2011