推动医院获得性压力性损伤零发生率：一项质量改进项目。
Driving Hospital-Acquired Pressure Injuries to Zero: A Quality Improvement Project.
机构信息
At NewYork-Presbyterian Westchester, Bronxville, New York, USA, Alexis M. Aningalan, DNP, RN, CWON, WCC, is Manager of Wound and Ostomy Care; and Brittany (Ray) Gannon, PhD, MSN, AGPCNP-BC, is Nurse Scientist. Acknowledgments : The authors thank Reynaldo R. Rivera, DNP, RN, NEA-BC, FAAN; Laurie A. Walsh, DNP, RN; Peggy Quinn, MPH, BSN, RN, CPHQ, NEA-BC; Catherine Lombardi, MSN RN-C, NE-BC, NHDP-BC; and Danielle LeStrange, MSN, MBA, RN, ACNS-BC, NEA-BC, FACHE, for providing leadership support and oversight; and Stephanie Walker, BSN, RN, CWON, WCC; and Hazel Holder, DNP, RN, ACCNS-AG, CCRN, for sharing their time and expertise during the conduct of the project. The authors have disclosed no financial relationships related to this article. Submitted August 15, 2022; accepted in revised form December 1, 2022.
出版信息
Adv Skin Wound Care. 2023 Nov 1;36(11):1-6. doi: 10.1097/ASW.0000000000000056.
OBJECTIVE
To implement a collaborative, interdisciplinary team approach to reducing hospital-acquired pressure injuries (HAPIs) through nurse empowerment and engagement.
METHODS
This quality improvement project was conducted at a 288-bed community hospital. The Donabedian model was used to design this intervention. The authors used a collaborative, interdisciplinary team approach for pressure injury prevention and management, utilizing nurse empowerment and engagement as driving forces to reduce HAPI rates.
RESULTS
The incidence of HAPI decreased from a peak of 5.30% in April 2019 down to 0% from August 2019 to December 2020.
CONCLUSIONS
Pressure injuries are key quality indicators for patient safety and avoidance of patient harm. Through nurse empowerment and engagement, HAPIs were avoided, resulting in improved quality care outcomes and maintenance of a safe patient environment.
目的
通过护士赋权和参与，实施协作性跨学科团队方法，以减少医院获得性压力性损伤（HAPI）。
方法
本质量改进项目在一家 288 张床位的社区医院进行。Donabedian 模型被用于设计该干预措施。作者采用协作性跨学科团队方法进行压力性损伤预防和管理，利用护士赋权和参与作为驱动力，以降低 HAPI 发生率。
结果
HAPI 的发生率从 2019 年 4 月的 5.30%高峰下降至 2019 年 8 月至 2020 年 12 月的 0%。
结论
压力性损伤是患者安全和避免患者伤害的关键质量指标。通过护士赋权和参与，避免了 HAPI 的发生，从而改善了优质护理结果并维持了安全的患者环境。
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