PMID- 32748382
OWN - NLM
STAT- MEDLINE
DCOM- 20200817
LR  - 20220416
IS  - 0047-262X (Print)
VI  - 67
IP  - 4
DP  - 2020 Aug
TI  - [Decreasing the Incidence of Medical Adhesive-Related Skin Injuries in a 
      Pediatric Intensive Care Unit].
PG  - 81-88
LID - JN.202008_67(4).10 [pii]
LID - 10.6224/JN.202008_67(4).10 [doi]
AB  - BACKGROUND & PROBLEMS: Medical adhesives are typically used to fix wound 
      dressings and catheters in place. Medical adhesive-related skin injuries (MARSI) 
      are frequently caused by repetitive or improper usage of these products. The 
      incidence rate in this unit is as high as 12.5%, which increases the difficulty 
      and cost of care. After analysis of the situation, we identified the main causes 
      of MARSI in our unit as: (1) Inadequate use of medical-adhesive products, (2) 
      Lack of relevant education and training to prevent MARSI, and (3) lack of a 
      standardized skin-damage-care procedure. PURPOSE: To decrease the incidence of 
      MARSI in the pediatric intensive care unit. RESOLUTIONS: A training program was 
      enacted to teach proper medical-adhesive application and removal techniques to 
      caregivers. Consensus on care procedures was reached and care standards were 
      modified. A mechanism for quality control was established. RESULTS: After 
      implementing the program, the incidence of MARSI dropped from 12.5% to 5.18%, 
      which achieved the target of this project. CONCLUSIONS: Other caregivers at our 
      institution remain unaware of MARSI prevention techniques and protocols. We plan 
      to continue cooperating with other staff members to prevent MARSI and to continue 
      to reduce related skin injuries to as close to nil as possible.
FAU - Chin, Pei-Ju
AU  - Chin PJ
AD  - MSN, RN, Nurse Practitioner, Department of Nursing, China Medical University 
      Children's Hospital, Taiwan, ROC. n13676@mail.cmuh.org.tw.
FAU - Chen, Yueh-Man
AU  - Chen YM
AD  - BSN, RN, Nurse Practitioner, Department of Nursing, China Medical University 
      Children's Hospital, Taiwan, ROC.
FAU - Hu, Shu-Huei
AU  - Hu SH
AD  - BSN, RN, Nurse Practitioner, Department of Nursing, China Medical University 
      Children's Hospital, Taiwan, ROC.
LA  - chi
PT  - Journal Article
PL  - China (Republic : 1949- )
TA  - Hu Li Za Zhi
JT  - Hu li za zhi The journal of nursing
JID - 0073267
RN  - 0 (Adhesives)
SB  - IM
MH  - Adhesives/*adverse effects
MH  - Child
MH  - Humans
MH  - Incidence
MH  - *Intensive Care Units, Pediatric
MH  - Nursing Evaluation Research
MH  - Nursing Staff, Hospital/*education
MH  - Skin/*injuries
MH  - Skin Care/*nursing
OTO - NOTNLM
OT  - medical adhesive
OT  - skin tear
OT  - surgical tape
EDAT- 2020/08/05 06:00
MHDA- 2020/08/18 06:00
CRDT- 2020/08/05 06:00
PHST- 2020/08/05 06:00 [entrez]
PHST- 2020/08/05 06:00 [pubmed]
PHST- 2020/08/18 06:00 [medline]
AID - JN.202008_67(4).10 [pii]
AID - 10.6224/JN.202008_67(4).10 [doi]
PST - ppublish
SO  - Hu Li Za Zhi. 2020 Aug;67(4):81-88. doi: 10.6224/JN.202008_67(4).10.