Summary of the best evidence on the prevention of device-related pressure injuries in the operating room
Objective To retrieve,evaluate,and integrate the relevant evidence on the prevention of device-related pressure injuries in surgical patients to provide reference for clinical practice.Methods We systematically searched the domestic and foreign computer decision support systems,websites of guidelines,academic websites specializing in pressure injuries,and comprehensive databases for relevant literature on the prevention of device-related pressure injuries in surgical patients,with the types of literature including clinical decision-making,guidelines,expert consensus,evidence summaries,systematic evaluations,meta-analyses,and rando-mized controlled trials.The retrieval period was from the establishment of databases to October 2023.The evidence-based team evaluated the quality of the literature,and extracted and summarized the evidence according to themes.Results A total of 10 articles were included,including 3 guidelines,4 expert consensus reports,2 systematic reviews and 1 randomized controlled trial.A total of 23 pieces of best evidence were summarized in five areas:risk assessment,selection and use of device,prevention strategies,postoperative handover and documentation,and education and training.Conclusion This study systematically integrated the relevant evidence for the prevention of device-related pressure injuries in surgical patients,and users of the evidence should adjust preven-tion strategies based on adequate risk assessment in the preoperative period and in the context of specific operating room situations to reduce the incidence of device-related pressure injuries.
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