Keeping the pressure high on prevention

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Abstract
In early 1990, doctors, nurses and health care professionals at St George’s Hospital were concerned about the number of patients with pressure sores, but were frustrated by their inability to respond appropriately when problems were identified. A one-day audit at the hospital in March 1990 suggested that 16.8 per cent of patients had a pressure sore and 51 per cent were at risk, as identified by the Waterlow risk assessment tool (8). Preventive aids and equipment were scarce, and there were no storage, distribution or maintenance systems for the little available. Although there had been negligible investment in equipment, the hospital had spent £127,000 on the rental of pressure relieving devices in 1989/90.

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