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澳大利亚急性护理环境中的压力性损伤数据:三个数据集的比较。

Pressure injury data in Australian acute care settings: A comparison of three data sets.

机构信息

Monash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.

Monash Partners Academic Health Science Centre, Monash Partners, Melbourne, Victoria, Australia.

出版信息

Int Wound J. 2020 Jun;17(3):578-586. doi: 10.1111/iwj.13320. Epub 2020 Feb 6.

Abstract

Hospital-acquired pressure injuries (HAPIs) represent a serious clinical and economic problem. The cost of treating HAPIs in Australian public hospitals was recently reported at AUS$983 million per annum. There are three main sources of data for documenting pressure injury (PI) occurrence in Australian hospitals: incident reporting, medical record coded data, and real-time surveys of pressure injury. PI data reported at hospital level and to external agencies using these three different sources are variable. This reporting issue leads to inaccurate data interpretation and hinders improvement in accuracy of PI identification and PI prevention. This study involved a comparison of the three different data sources in selected Australian hospitals, to improve the accuracy and comparability of data. Findings from this study provide benchmark areas for improvement in PI documenting and reporting. Better understanding the agreement between the three data sets could lead to a more efficient and effective sharing of data sources.

摘要

医院获得性压疮(HAPI)是一个严重的临床和经济问题。最近有报道称,澳大利亚公立医院治疗 HAPI 的费用为每年 9.83 亿澳元。有三种主要的数据来源可用于记录澳大利亚医院压疮(PI)的发生情况:事件报告、病历编码数据和实时压力性损伤调查。使用这三种不同来源在医院层面和向外部机构报告的 PI 数据存在差异。这一报告问题导致数据解释不准确,并阻碍了 PI 识别和 PI 预防准确性的提高。本研究比较了选定澳大利亚医院的这三种不同数据源,以提高数据的准确性和可比性。本研究的结果为改善 PI 记录和报告提供了基准改进领域。更好地了解这三个数据集之间的一致性,可以更有效地共享数据源。

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