Pressure Redistribution Crib Mattress: A Quality Improvement Project

J Wound Ostomy Continence Nurs. 2019 Jan/Feb;46(1):62-64. doi: 10.1097/WON.0000000000000500.


Background: Selective use of pressure-redistributing support surfaces is considered an essential component of a pressure injury prevention bundle. Critically ill children who are too big for an isolette but too little for a bed are usually placed in critical care cribs that have unique features such as moveable side rails and a built-in scale for weighing the patient, but they do not have a mattress designed to redistribute pressure. The primary aim of this quality improvement project was to evaluate a pressure redistribution mattress designed for use in critical care cribs.

Cases: We retrospectively reviewed 22 charts of critically ill pediatric patients who participated in a product trial completed over a 12-week period in a stand-alone children's hospital in the Western United States. We reviewed demographic data, skin assessments, Braden Q Scale score, and support surface use. Our review revealed no pressure injury occurrences over the 12-week data collection period.

Conclusions: Findings from this quality improvement project suggest that the pressure-redistributing mattress, when used as part of an intervention bundle, prevents pressure injuries in critically ill pediatric patients.

MeSH terms

  • Beds / standards
  • Child
  • Child, Preschool
  • Critical Illness / nursing
  • Female
  • Humans
  • Infant
  • Infant Equipment / standards*
  • Infant, Newborn
  • Male
  • Pressure / adverse effects*
  • Pressure Ulcer / nursing
  • Pressure Ulcer / prevention & control
  • Quality Improvement
  • Retrospective Studies
  • Risk Factors
  • Severity of Illness Index