This is a secondary driver from effective and inclusive communication within the Pressure Ulcers driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Pressure Ulcers driver diagram
Practitioner:
- Identification of people at risk of, or currently with pressure ulcers at team safety briefs, hand overs, huddles
- All members of the MDT document positional changes which happen during their therapy in shared documentation
Team:
- Structured multidisciplinary meetings include skin related concerns
Organisation:
- Skills of full MDT used in the prevention and treatment of pressure ulcers
Evidence and resources
- Avsar P, Moore Z, Patton D, O’Connor T, Budri AM, Nugent L. Repositioning for preventing pressure ulcers: a systematic review and meta-analysis. Journal of Wound Care. 2020;29(9),496-508
- British Journal of Nursing. Improving pressure ulcer prevention knowledge to reduce avoidable harm [online]. 2025
- Guo M, Bayley M, Ye XY, Dunbar-Yaffe R, Fortin C, Go L. et al. Impact of medical safety huddles on patient safety: a stepped-wedge cluster randomised study. BMJ Quality & Safety. 2026;35(5),326-333
- Healthcare Improvement Scotland. Prevention and management of pressure ulcers standards [online]. 2020
- National Pressure Injury Advisory Panel. Prevention and Treatment of Pressure Ulcers and Injuries: Clinical Practice Guideline [online]. 2025
- Whitlock J. SSKIN bundle: preventing pressure damage across the health-care community. British Journal of Community Nursing. 2013;18(9)