Pressure Ulcers - Understanding what went wrong through RCA and PSIRF
This session will consider investigating pressure ulcer incidents within the context of Patient Safety Incident Response Framework (PSIRF) and the new National Wound Care Strategy Recommendations.
Undertaking investigations within your care home or home care team will help you understand what improvements need to be made, if any, to the care being delivered. Demonstrating that this activity is taking place, being acted upon and improving pressure ulcer incidents could support an improved CQC rating.
Learning Outcomes
- Understand briefly how a pressure ulcer is caused
- Be aware of the relevant national documents that guide when to investigate.
- Understand the key actions for prevention
- Understand how to determine which factors led to the development of a pressure ulcer
Meet our Experts
Heidi has been a Tissue Viability Nurse since 2002. Her interest and passion in the prevention and management of pressure ulcers began, however, in 1987 on registering as a nurse. She has worked in both acute and community care.
People who watched this also watched...
The importance and impact of good transfer on seating
A wonderful multi-function chair loses its charm if the person using it has difficulties getting in and out. In this two-part webinar, we will look at improving the harmony between the person and their seating during the standing and sitting process.
Continuous pressure monitoring - identification of posture issues and how it helps pressure ulcer prevention
This webinar explores the use of continuous pressure monitoring to identify high risk areas using patient case studies.
Sleep in a Riser Recliner
In this session we will explore the issues around people sleeping in riser recliner chairs – we will look at this issue from a functional occupational performance and a tissue viability perspective.
This session is aimed to enable health care professionals to think around this presenting issue to enable them to have a constructive discussion with people they are working with to come to an agreeable solution.