The authors investigated the role played by organisational context at six sites in Yorkshire (England) in the development of severe pressure ulcers. Lessons concerning potential failures in the delivery of treatment, and some root-causes of sub-optimal care, are explored.
Pinkney, L. Nixon, J. [and] Wilson, L. [et al] (2013). Why do patients develop severe pressure ulcers? A retrospective case study. BMJ Open, January 2nd 2014; Vol.4(1): e004303.