The risk of relying on manual routines for patient safety
Many pressure redistribution systems are described as automatic.
However, clinical performance often remains dependent on routine checks, manual assessments and correct adjustments by healthcare professionals.
More than half of air mattress systems in clinical use were incorrectly adjusted.
Three out of four patients in a seated position were at risk of insufficient pressure redistribution and potential bottoming out.*
When the right outcome depends on someone remembering to perform the correct intervention at the correct time, variation becomes inevitable.
The challenge is not healthcare professionals. The challenge is systems that rely on people never missing a step.
* Ward C. Journal of Tissue Viability 2010