开发浸信会健康伤害风险评估第一阶段:探索风险因素
C Preston Lewis1, Reece Schenkenfelder, Claire C Davies
1Author Affiliations: Executive Director of Orthopedics/Urology Services & Magnet Recognition Program (Dr Lewis), WOC Clinical Nurse (Schenkenfelder), and Research Consultant (Drs Davies and Monroe), Baptist Health Lexington; WOC Clinical Nurse (Acton), Baptist Health Louisville; and Research Nurse (Dr Phillips), Baptist Health Paducah, Paducah, Kentucky.
医疗器械和限制运动的设备是重症患者在医院获得的压力损伤 (HAPI) 的关键风险因素. 将这些纳入风险评估可以改善患者的护理.
科学领域:
- 临界护理护理重症监护护理
- 患者安全研究的研究.
- 改善医疗保健的质量.
背景情况:
- 医院获得的压力损伤 (HAPI) 是对医疗保健质量的重大关注,特别是在Magnet®认可的设施中.
- 新出现的证据突出显示,医疗器械是HAPI的主要原因.
- 现有的风险评估工具往往忽视了医疗器械对HAPI开发的贡献.
研究的目的:
- 在重症成人住院患者中确定与医院获得的压力损伤 (HAPI) 相关的风险因素.
- 探索医疗器械和限制运动设备在HAPI开发中的作用.
- 为开发更全面的HAPI风险评估工具提供信息.
主要方法:
- 在九个美国护士认证中心指定的设施中进行了回顾性图表审查.
- 护士在确认HAPI诊断后48小时内收集数据.
- 这项研究涉及207名严重病情严重的成年住院患者报告的HAPI样本.
主要成果:
- 报告的HAPI中超过一半 (54%) 是深层组织压力损伤.
- 医疗器械涉及50.2%的HAPI,涉及19种不同的设备.
- 患有HAPI的患者经常使用限制运动的医疗设备 (7种类型中的1种或以上).
结论:
- 这些发现支持将医疗器械使用和限制运动的设备纳入HAPI的重症监护风险评估.
- 这项研究为开发一种新的风险评估工具提供了基础.
- 计划进行进一步的研究,以测试拟议评估的特异性和敏感性.
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