The National Pressure Injury Advisory Panel provides interprofessional leadership to improve patient outcomes in pressure injury prevention and management through education, public policy and research.
The National Pressure Injury Advisory Panel hosted its largest conference to date in Houston. The large audience came to reflect on “Is it “skin failure” or “unavoidable pressure injury”? and consider how to implement the newly released international guidelines on pressure injury prevention and treatment.
Cornerstones of the conference were three presentations using a process of concept analysis of pressure injury, skin failure and unavoidable pressure injury presented by Drs. Janet Cuddigan, Jeffrey Levine and Joyce Black, respectively. The science of pressure injury and incontinence associated dermatitis etiology was discussed by Dr. Amit Gefen from Israel and Dr. Dimitri Beeckman from Belgium who is the President of the European Pressure Ulcer Advisory Panel. The NPIAP panel members rounded out the sessions on implementing the new guideline addressing prevention in all settings and treatment of partial and full thickness pressure injury. Conference attendees heard David Marshall, Chief Nursing Officer at Cedar Sinai in Los Angeles and Magnet Hospital Accreditation Commissioner explain how pressure injury prevention is a core aspect of Magnet Accreditation. In addition, Dr. Jeffrey Levine, Karen Kennedy Evans, Dr. Diane Langemo and Dr. Diane Krasner added their interpretations of how their work might apply in today’s discussion of skin failure, which followed a series of case presentations by attendees on wounds that had been classified as “skin failure” or “Kennedy Terminal Ulcers”. Approaches to reduce avoidable pressure injury in critically patients was skillfully addressed by critical care specialist Kathleen Vollman from Detroit. Clinical work from Virginia Commonwealth University, Texas Children’s Hospital and University of Chicago Hospital added to the richness of how critically ill patients can be kept pressure injury free. Dr. Joyce Pittman ended the conference discussing her research on determining avoidable and unavoidable pressure injury.
The two-day conference was preceded by a workshop on Root Cause Analysis (RCA) using the updated RCA tool by NPIAP. Dr. Joyce Black and Michelle Deppish presented the process of RCAs and provided the audience with cases to help guide them in conducting their own RCA using the NPIAP RCA tool. The tool has been updated to link to statements from the 2019 Guideline and available at npiap.com. Development of research based clinical practice international guidelines have been a mainstay of the NPIAP since 2009. The most recent guideline was released in November of 2019. In addition, the ideas of avoidable and unavoidable pressure injury have been addressed by NPIAP since the late 1990’s. Their two consensus conferences on avoidable/unavoidable pressure injury are commonly cited publications.
NPIAP provides interprofessional leadership to improve patient outcomes in pressure injury prevention and management through education, public policy and research. They are headquartered in Boston Massachusetts. Their website is npiap.com.