Kiernan M
North Essey Health Authority, Witham.
Br J Nurs. 1997;6(6):329-32. doi: 10.12968/bjon.1997.6.6.329.
This article examines the continuing problem of pressure sores in the NHS from a purchasing and a providing manager's perspective. Risk management and the need for clinical effectiveness in treatment and prevention strategies are discussed. Reporting systems are advocated as a means to estimate risk and to form a store of information that will enable a response to made when problem areas are identified. Nursing advice and input into the contracting process is vital. The need for purchasers and NHS managers to work together to ensure that effective interventions are implemented to reduce both the financial burden on the NHS and the physiological insult offered to patients is stressed.
本文从采购经理和供应经理的角度审视了国民医疗服务体系（NHS）中持续存在的压疮问题。文中讨论了风险管理以及治疗和预防策略中临床有效性的必要性。提倡建立报告系统，作为评估风险和形成信息库的一种手段，以便在识别出问题领域时能够做出应对。护理建议以及在合同签订过程中的参与至关重要。强调了采购方和国民医疗服务体系管理者需要共同努力，以确保实施有效的干预措施，从而减轻国民医疗服务体系的经济负担，并减少对患者造成的生理伤害。
