Morehead Donna, Blain Brenda
Baylor Medical Center at Irving, 1901 N. MacArthur, Irving, TX 75061, USA.
Baylor Medical Center at Irving, 1901 N. MacArthur, Irving, TX 75061, USA.
Crit Care Nurs Clin North Am. 2014 Dec;26(4):559-67. doi: 10.1016/j.ccell.2014.08.011. Epub 2014 Sep 16.
The prevention of hospital-acquired pressure ulcers remains a top priority for health care facilities worldwide. This article discusses a process improvement in an intensive care unit where the unit-acquired pressure ulcer rate was dropped from 30% to 0% by front-line staff nurses. The key areas addressed by the staff were education, creating a process for turning patients during bedside report, and the creation of a documentation tool for accurate skin/wound assessment. Involving front-line staff in the prevention methodology creates a process that is quickly adopted by staff, peer-to-peer accountability in accurate skin/wound assessment, and positive outcomes.
预防医院获得性压疮仍然是全球医疗机构的首要任务。本文讨论了重症监护病房的一项流程改进措施，在该措施下，一线护士将该病房获得性压疮发生率从30%降至0%。工作人员关注的关键领域包括教育、在床边报告期间制定翻身流程以及创建用于准确皮肤/伤口评估的记录工具。让一线工作人员参与预防方法，能创造一个工作人员能迅速采用的流程，在准确的皮肤/伤口评估方面形成同伴间的问责制，并取得积极成果。
