Investigating the Implementation of Corrective Preventive Measures for Pressure Ulcers Using the HFMEA Method in the Pediatric Intensive Care Unit

Introduction: Pressure ulcers are one of the most costly unresolved health issues. Due to their adverse outcomes, preventing their occurrence through cost-effective strategies is crucial for improving and enhancing patients' quality of life. Prevention requires accurate identification of at-risk patients (using an appropriate approach) and the provision of safe nursing care through the use of suitable equipment and facilities. This study aimed to investigate the implementation of corrective preventive measures for pressure ulcers using the HFMEA method in the pediatric intensive care unit of the Shahid Motahari Educational and Medical Center in Urmia in ۲۰۲۴. Methods: In this study, potential failure modes and factors affecting the prevention of pressure ulcers in hospitalized patients in pediatric intensive care units were first identified and analyzed using the HFMEA method. Data for the HFMEA worksheet were designed via interviews and group sessions with team consensus in the form of a checklist. Data were collected through direct observation for ۴۸ patients susceptible to pressure ulcers using a census sampling method and entered into SPSS software version ۱۶. The obtained data were analyzed using descriptive statistical tests. Findings: The results showed that out of ۱۰ potential failure modes (factors contributing to pressure ulcer development), patient repositioning according to the hourly chart (۹۶%) and continuous assessment of the patient for pressure ulcers and skin integrity by the nurse (۹۱%) had the highest adherence rates. In contrast, the use of specific antibacterial bath foams and keeping the skin moist with moisturizers (۵۲%) had the lowest adherence rate. Conclusion: Given that risk management and patient safety are fundamental pillars of healthcare service quality, the HFMEA technique, with its preventive and prospective approach, can serve as an effective executive solution. By focusing on systemic errors, identifying procedural and organizational weaknesses, extracting error-prone bottlenecks, and planning care interventions along with implementing corrective actions, it can play a significant role.

کلیدواژه ها:

Risk Management ، Pressure Ulcer ، HFMEA