Philip R. Lee Institute for Health Policy Studies, and School of Nursing, University of California, San Francisco, CA 94118, USA.
J Nurs Adm. 2013 Apr;43(4):235-41. doi: 10.1097/NNA.0b013e3182895a3c.
The aim of this study was to assess the cost savings associated with implementing nursing approaches to prevent hospital-acquired pressure ulcers (HAPU).
Hospitals face substantial costs associated with the treatment of HAPUs. Interventions have been demonstrated as effective for HAPU prevention and management, but it is widely perceived that preventative measures are expensive and, thus, may not be a good use of resources.
A return-on-investment (ROI) framework from the Agency for Healthcare Research and Quality (AHRQ) Quality Indicators Toolkit was used for this study. The researchers identified achievable improvements in HAPU rates from data from the Collaborative Alliance for Nursing Outcomes and measured costs and savings associated with HAPU reduction from published literature.
The analysis produced a baseline ROI ratio of 1.61 and net savings of $127.51 per patient.
Hospital-acquired pressure ulcer surveillance and prevention can be cost saving for hospitals and should be considered by nurse executives as a strategy to support quality outcomes.
本研究旨在评估实施预防医院获得性压疮（HAPU）的护理措施所带来的成本节约。
医院在治疗 HAPU 方面面临着巨大的成本。干预措施已被证明对 HAPU 的预防和管理有效，但人们普遍认为预防措施成本高昂，因此可能不是资源的有效利用。
本研究采用了美国医疗保健研究与质量局（AHRQ）质量指标工具包中的投资回报率（ROI）框架。研究人员根据协作性护理结局联盟的数据确定了 HAPU 发生率的可实现改善，并根据已发表的文献衡量了与 HAPU 减少相关的成本和节约。
分析得出的基础 ROI 比率为 1.61，每位患者的净节约为 127.51 美元。
医院获得性压疮监测和预防可以为医院节省成本，护理管理人员应将其视为支持质量结果的策略。
