The effectiveness of pressure ulcer prevention programme: A comparative study

Abbas S. Al Mutair, University of Wollongong
Zainab Ambani, King Saud Bin Abdulaziz University for Health Sciences
Fadillah Al Obaidan, Ministry of Health, Saudi Arabia
Khulud Al Salman, Ministry of Health, Saudi Arabia
Hashmiah Alhassan, Ministry of Health, Saudi Arabia
Alya Al Mutairi, Taibah University

Al Mutair, A., Ambani, Z., Al Obaidan, F., Al Salman, K., Alhassan, H. & Al Mutairi, A. (2020). The effectiveness of pressure ulcer prevention programme: A comparative study. International Wound Journal, 17 (1), 214-219.


Hospital-acquired pressure ulcers (HAPUs) affect patients during hospitalisation, putting patients at risk for further complications. HAPU is one of the hospital quality indicators that require quality initiatives or programmes to minimise its occurrence and consequences. The aim of this study was to assess the effectiveness of a developed quality improvement programme in preventing HAPUs. This is a retrospective comparative study, which tracked the outcomes of pressure ulcer prevention programme (PUPP) for 5 years from 2014 to 2018. Data from 50 441 patients were collected from different units in a tertiary hospital in the eastern region of Saudi Arabia. The programme focused on building a wound care team; providing education to hospital staff, patients, and their families; and continuous data monitoring, in addition to follow-up visits after discharge. Implementation of the programme was successful showing a statistically significant reduction of HAPUs from 0.20% in 2014 to 0.06% in 2018 (P value <.001). The PUPP was effective in reducing the percentage of pressure ulcer cases. The programme can be extended and implemented in other hospitals.


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