SSKIN care bundle

SSKIN care bundle


Pressure Ulcer safety cross imageAs part of an American healthcare initiative, representatives from the Institute for Healthcare Improvement and Ascension Health  together  developed a blueprint for change in pressure ulcer prevention. 

Part of this blueprint involved defining best practices, to which the original SKIN (Surface, Keep moving, Incontinence, Nutrition) care bundle was developed. After learning about the care bundle approach  used by  colleagues in Wales to prevent pressure ulcers, the care bundle was then tested in a small variety of care settings in Scotland.

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.

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 care outcomes.

In order to know if a 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 and Director of UK Safer Patient Network), a simple tool to measure process compliance has been developed, tested and adapted (see Compliance measurement chart).  It is useful to collect process compliance data in real time (i.e. on the day you check the care bundle charts) as this enables continuous improvements to be made  at the time, based on the data you collect.

Published Date: 15 April 2011


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