Evaluation the Impact of a Standardized Prevention Bundle for Respiratory Device-Related Pressure Injuries

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Publication Date

7-15-2026

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Presentation: 45:52

Abstract

Respiratory device-related pressure injuries are preventable hospital-acquired complications associated with the use of non-invasive ventilation masks, endotracheal tube holders, nasal cannulas, and other respiratory devices that can result in increased patient morbidity, prolonged hospitalization, higher healthcare costs, and decreased quality of care. The purpose of this retrospective quality improvement project was to evaluate the impact of a standardized respiratory device-related pressure injury prevention bundle implemented at Jefferson Einstein Montgomery Hospital. Historical data obtained from the wound care department, respiratory therapy documentation, and the electronic medical record were retrospectively reviewed to compare respiratory device-related pressure injuries before and after implementation of the prevention bundle. The prevention bundle pre-implementation period was January of 2025 to December of 2025. During that time, there were seven respiratory device-related pressure injuries at Jefferson Einstein Montgomery Hospital, leading to the creation and implementation of a respiratory device-related pressure injury prevention bundle. The prevention bundle includes the use of prophylactic dressing, routine skin assessments, interface repositioning, using alternative interfaces, and standardized documentation. Following implementation of the prevention bundle, no respiratory device-related pressure injuries were identified during the evaluation period from January of 2026 to May of 2026. Although this retrospective quality improvement project cannot conclude that the prevention bundle alone reduced respiratory device-related pressure injuries. However, the findings suggest that implementation of standardized respiratory-specific prevention practices was associated with a reduction in respiratory device-related pressure injuries. This project identified opportunities to strengthen future quality improvement efforts by improving compliance monitoring, enhancing electronic medical record tracking and reporting, and continuing interdisciplinary collaboration to support sustained reductions in respiratory device-related pressure injuries.

Language

English

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