QUALITY AND SAFETY OF CARE: PRESSURE INJURIES, A SENSITIVE INDICATOR OF CARE AND A PENDING GAP IN PUBLIC HEALTH POLICY

Abstract

INTRODUCTION: Pressure ulcers, currently referred to as lesions, are a significant public health problem, especially in people with severe dependency, where immobility is common. Worldwide, PPLs account for millions of adverse events annually, with thousands of cases resulting in death. OBJECTIVE: To reflect on the persistence of pressure injuries, despite the preventive measures developed. Our goal is to highlight the ethical importance of addressing this problem in Primary Care, especially in home care, and to advocate for the development of objective evidence to support the implementation of new public policies aimed at surveillance and prevention. CONCLUSIONS: Pressure injuries are a persistent problem in Chile, being considered a preventable sentinel event. Despite regulations in the health system, home care, considered an integral part of primary health care, is often undermined. Lost care, where necessary nursing interventions are not performed, increases the risk of pressure injuries, so it is crucial to train nursing staff to follow the care plan and promote a culture of prevention. Pressure injuries have a negative impact on individuals and the health care system, generating additional costs and overloading levels of care. A revision of the regulations is needed to include specific guidelines for home care, develop adapted protocols, and provide adequate training. This would ensure more comprehensive care, reduce the burden on the health system, and promote equity in access to quality care.