The 'HAPI' project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia.
From 2015 to 2018, the 'Hospital-Acquired Pressure Injury (HAPI)' project was implemented in one local health district in Australia and utilised an implementation science approach to address rising pressure injury (PI) incidence and prevalence rates. This paper aims to examine whether the project wa...
| Publicado en: | Journal of Tissue Viability Vol. 34; no. 1 |
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| Autores principales: | , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183710721&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183710721 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0965206X YZQ jtl: Journal of Tissue Viability issn: 0965206X maglogo: N pubinfo: dt: Feb2025 vid: 34 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 183710721 183710721 183710721 10.1016/j.jtv.2024.12.010 183710721 ppct: 1 formats: tig: atl: The 'HAPI' project five years on: Incidence and prevalence of Hospital-Acquired Pressure Injuries in one local health district in Australia. aug: au: Barakat-Johnson, Michelle Lai, Michelle Graham, Jennifer Hallahan, Andrew Coyer, Fiona affil: Nursing and Midwifery Services, Sydney Local Health District, Level 11, King George V Building, Camperdown, Sydney, Australia sug: subj: Hospitalization Pressure Ulcer Epidemiology Pressure Ulcer Prevention and Control Program Evaluation Australia Human Retrospective Design Record Review Prospective Studies Descriptive Statistics Pressure Ulcer Complications Deep Tissue Injury Wound Care Pressure Ulcer Therapy Implementation Science ab: From 2015 to 2018, the 'Hospital-Acquired Pressure Injury (HAPI)' project was implemented in one local health district in Australia and utilised an implementation science approach to address rising pressure injury (PI) incidence and prevalence rates. This paper aims to examine whether the project was successful in sustaining low PI incidence and prevalence rates over the five-years following implementation (spanning the 2018/2019 to 2022/2023 financial years and the 2019–2023 calendar years). A retrospective cohort study was conducted involving a comprehensive analysis of HAPI incidence, prevalence, and hospital-acquired complication (HAC) data spanning 5 years (incidence and HAC: 2018/2019 to 2022/2023 financial years; prevalence: January 2019 to December 2023 calendar years) post-implementation of the HAPI project. Since 2018/2019, incidence of HAPIs decreased by 32.6 % (30.7 HAPI per 10,000 episodes of care in 2018/2019 vs 20.7 HAPI per 10,000 episodes of care in 2022/2023 financial year), prevalence remained stable from 1.1 % to 1.27 % (2019 vs 2023 calendar year), and HAC pressure injuries (stage III, IV, suspected deep tissue, unspecified or unstageable) declined by 27.3 % (2.2 HAPI per 10,000 episodes of care in 2018/2019 vs 1.6 HAPI per 10,000 episodes of care in 2022/2023 financial year). The HAPI project has successfully maintained a low incidence and prevalence rate of HAPI, over 5 years following implementation. This achievement highlights the benefits of utilising an implementation science approach to implementing a multi-faceted intervention in a complex healthcare setting to ensure sustainability beyond the project phase. • In 2014–18, a project to address pressure injuries (PI) was launched. • It was named the Hospital-Acquired Pressure Injury (HAPI) project. • We examined PI prevalence and incidence, 5-years post-implementation. • PI prevalence and incidence remained low; prevalence decreased further. • Utilising an implementation science framework led to sustainability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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