Department of Nursing, University of Melbourne, Melbourne, Victoria, Australia.
Department of Nursing, Virginia Commonwealth University, Richmond, Virginia.
Int Wound J. 2019 Jun;16(3):746-752. doi: 10.1111/iwj.13092. Epub 2019 Feb 27.
The emergency department (ED) is at the front line of hospital pressure injury (PI) prevention, yet ED clinicians must balance many competing clinical priorities in the care of seriously ill patients. This paper presents the current biomechanical and clinical evidence and management considerations to assist EDs to continue to develop and implement evidence-based PI prevention protocols for the high-risk emergency/trauma patient. The prevention of hospital-acquired pressure injuries has received significant focus internationally over many years because of the additional burden that these injuries place on the patient, the additional costs and impact to the efficiency of the hospital, and the potential for litigation. The development of a PI is the result of a complex number of biomechanical, physiological, and environmental interactions. Our understanding of the interaction of these factors has improved significantly over the past 10 years. We have demonstrated that large reductions in PI incidence rates can be achieved in critical care and general hospital wards through the application of advanced evidence-based prevention protocols and believe that further improvement can be achieved through the application of these approaches in the ED.
急诊科是医院压疮（PI）预防的第一线，但急诊科临床医生必须在照顾重病患者的过程中平衡许多相互竞争的临床优先事项。本文介绍了当前的生物力学和临床证据以及管理注意事项，以帮助急诊科继续为高风险的急诊/创伤患者制定和实施基于证据的 PI 预防方案。多年来，由于这些损伤给患者带来的额外负担、给医院效率带来的额外成本和影响以及潜在的诉讼风险，预防医院获得性压疮受到了国际上的高度关注。PI 的发生是多种生物力学、生理和环境相互作用的结果。在过去的 10 年中，我们对这些因素相互作用的理解有了显著提高。我们已经证明，通过应用先进的基于证据的预防方案，可以在重症监护病房和普通病房中将 PI 发病率大大降低，并且相信通过在急诊科应用这些方法可以进一步提高。
