Proposed Topic (Most preferred): :
Clinical Safety and Quality Service II (Projects aiming to enhance clinical safety and outcomes, clinical governance / risk management)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Chan CN (1), Chan WL (1), Cheng PY (1), Shum CY (1), Sung SS (1), Wan YT (1), Ip MY (1), Cheng SM (1)
Affiliation :
(1) The deparment of peadiatrics
Introduction :
Medical adhesive related skin injuries (MARSI) are a significant concern in neonatal intensive care units (NICUs). This project is an quality improvement program on MARSI prevention in a NICU setting.
Objectives :
The project, conducted since August 2023, aimed to decrease the incidence rate of MARSI by standardizing nursing practices related to the application and removal of medical adhesives and increase staff awareness of MARSI prevention.
Methodology :
The program included small-group educational sessions covering MARSI definition, causes, classifications, risk factors, current situation, Neonatal Skin Condition Score for skin assessment, and appropriate selection, application, and removal methods for medical adhesives. Additionally, posters and video tutorials were provided as visual aids.
Result & Outcome :
Data were collected in two periods corresponding to the pre-implementation and post implementation to evaluate the education program outcomes. Following the intervention, the incidence rate of MARSI greatly reduced. Over 80% of NICU nursing staff participated in the program, resulting in a remarkable improvement in their knowledge of MARSI prevention. Pre- and post-knowledge tests showed an increase from 35% to 97% in nursing staff's understanding of MARSI.
In conclusion, the quality improvment program successfully raised awareness and improved knowledge among NICU nursing staff regarding MARSI prevention. These findings provide valuable insights into addressing MARSI in NICU settings and highlight the effectiveness of educational interventions in reducing these preventable injuries. MARSI prevention education will persist in delivering to NICU nursing staff in order to improve the quality of care they provide.
