The TVS contributes to international debate

Read TVS Trustees Heidi Sandoz and Pauline Gilroy’s report on NPUAP’s consensus conference held earlier this year in Baltimore. 

On February 27, 2014 the NPUAP held “The Unavoidable Outcome: A Pressure Injury Consensus Conference”. The purpose of this meeting was to scientifically explore the multi-faceted issue of pressure ulcer unavoidability within an organ system framework, which considers the complexities of non-modifiable intrinsic and extrinsic risk factors.

There were 2 streams of conference delegate: a voting panel made up of representatives from invited worldwide organisations (including USA, Canada, UK [TVS], Europe [EPUAP], Australia, New Zealand and Japan) and non-voting audience delegates. Two Tissue Viability Society Trustees attended, one on the voting panel and the other in the audience.

Statements defining unavoidable pressure damage designed to be used beyond application of the existing definition of an unavoidable pressure ulcer (Black et al., 2011) were displayed. Voting took place on each of the statements and consensus status was determined.

This was an interesting consensus meeting to be involved in. It was very well organised and attended, and the international representation and multi-disciplinary nature of the consensus panel provided a balanced debate. The systems of litigation and reimbursement in the USA for instance create different foci to those of the UK working within the NHS. There were some attorney representatives in the audience who reminded us about litigation risk with regard to some statements. The Centers for Medicaid and Medicare Services was also represented on the consensus panel thereby providing balance from the insurers viewpoint. Due to a confidentiality agreement it is not possible to report further on the outcomes of the meeting.

The results of the consensus will be published initially via a webinar on June  4th 2014 http://www.npuap.org/events/pressure-ulcers-the-unavoidable-outcome-2014-consensus-results/

Black J.M. et al., (2011) Pressure Ulcers: Avoidable or Unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference Ostomy Wound Management 57(2):24–37