Allegheny General Hospital, Allegheny Health Network, Pittsburgh, Pennsylvania.
Crit Care Nurs Q. 2022;45(4):317-324. doi: 10.1097/CNQ.0000000000000423.
Hospital-acquired pressure injuries (HAPIs) are a painful and unwanted experience for the patient and cause unwanted additional costs to hospitals. Because HAPIs are a preventable occurrence, they are a nurse-sensitive indictor for national benchmarking when looking at quality and safety. Controlling the occurrence of HAPI in the hospital setting can be challenging for any nurse, but the difficulty is enhanced in the intensive care unit. This article discusses how a group of nurses from various areas of the hospital came together to heighten awareness of skin care and provided frontline education to peers. Through the use of structured programs using both a nationally known Wound Associate treatment program and Lean methodology, the nurses were able to work through processes and barriers and successfully decrease the incidence of HAPI in this academic medical center.
医院获得性压疮(HAPI)给患者带来痛苦和不必要的体验,并给医院造成不必要的额外费用。由于 HAPI 是可预防的事件,因此在关注质量和安全时,它们是护士敏感的国家基准指标。对于任何护士来说,在医院环境中控制 HAPI 的发生都是具有挑战性的,但在重症监护病房中,这种难度会加大。本文讨论了一群来自医院不同领域的护士如何共同提高对皮肤护理的认识,并为同行提供一线教育。通过使用国家知名的 Wound Associate 治疗计划和精益方法的结构化程序,护士们能够克服流程和障碍,并成功降低了这家学术医疗中心 HAPI 的发生率。