PRESENTING A LOCAL AUDIT OF PRESSURE ULCER ROOT CAUSE ANALYSIS.

Pressure ulcers are an expensive and all-too common problem, which cost the NHS billions to treat annually, not accounting for the impact on patients' quality of life. This paper presents the results of one trust's efforts to introduce a standardised reporting mechanism to reduce the incidence of care-acquired pressure ulcers using root cause analysis (RCA). It details lessons learnt, resulting initiatives and perceived future challenges following implementation of local guidance and reporting. [ABSTRACT FROM AUTHOR]