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一家地区医院预防压疮的成功经验

Pressure injury prevention success in a regional hospital.

作者信息

Hunter Michelle, Kelly Jennifer, Stanley Norma, Stilley Amy, Anderson Lynn

机构信息

Bundaberg Hospital, Wide Bay Hospital and Health Service, Bundaberg, QLD, Australia.

出版信息

Contemp Nurse. 2014;49:75-82. doi: 10.5172/conu.2014.49.75.

Abstract

BACKGROUND

This paper describes quality improvement strategies implemented following the identification of a significantly high prevalence rate and severity of pressure injuries in a regional health care facility in a large health district in Queensland, Australia.

AIM

The aim of this paper is to inform health professionals of processes employed to reduce the incidence and financial burden of pressure injuries following the detection of rates that were significantly above the State average.

METHOD

An audit of pressure injury prevalence data was conducted on a single day throughout a regional hospital. Prevalence data was compared to State averages and hospital strategies used to prevent injuries were examined.

FINDINGS

Audit reports for this acute setting revealed that despite best practice guidelines, prevalence was a major concern. Lack of accountability, poor documentation, limited education and knowledge of risk assessment and prevention were central to the need to implement quality improvement processes.

CONCLUSION

This paper outlines the results associated with implementing quality measures to reduce the prevalence of pressure injuries. Following an audit of pressure injury prevalence data, strategies were implemented to reduce noteworthy rates. Employing specific techniques can result in significantly decreasing hospital acquired pressure injuries in health care settings throughout the world.

摘要

背景

本文描述了在澳大利亚昆士兰州一个大型健康区的一家区域医疗机构中,在发现压力性损伤的患病率和严重程度显著较高之后实施的质量改进策略。

目的

本文旨在向卫生专业人员介绍在检测到压力性损伤发生率显著高于州平均水平后,为降低其发生率和经济负担所采用的流程。

方法

在一家区域医院的某一天对压力性损伤患病率数据进行了审核。将患病率数据与州平均水平进行比较,并检查了医院用于预防损伤的策略。

结果

针对这种急性情况的审核报告显示,尽管有最佳实践指南,但患病率仍是一个主要问题。缺乏问责制、记录不佳、对风险评估和预防的教育及知识有限,是实施质量改进流程的核心需求。

结论

本文概述了实施质量措施以降低压力性损伤患病率的相关结果。在对压力性损伤患病率数据进行审核之后,实施了策略以降低显著的发生率。采用特定技术可在全球医疗保健机构中显著减少医院获得性压力性损伤。

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