将驾驶医院获得的压力伤害降至零:一个质量改进项目
Alexis M Aningalan1, Brittany Ray Gannon
1At 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.
通过护士赋权和参与,医院获得的压力损伤 (HAPI) 被消除. 这种协作方法显著改善了患者安全和护理质量结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究 患者安全研究
- 护理领导力 护理领导力
背景情况:
- 医院获得的压力损伤 (HAPI) 是患者护理质量和安全的关键指标.
- 有效的预防策略至关重要,以尽量减少患者的伤害和相关的医疗保健成本.
研究的目的:
- 实施一个协作,跨学科的团队战略,以减少HAPI.
- 加强护士赋权和参与,作为压力伤害预防的关键驱动力.
主要方法:
- 一个使用Donabedian模型的质量改进项目在社区医院进行.
- 一个跨学科的团队方法专注于压力伤害的预防和管理.
- 利用护士的赋权和参与来推动这一倡议.
主要成果:
- 高血压感染的发病率从2019年4月的5.30%的峰值显著下降.
- 从2019年8月到2020年12月,HAPI利率降至0% .
- 持续的零发病率证明了干预的有效性.
结论:
- 通过战略性,以团队为基础的干预来实现消除HAPI.
- 护士的赋权和参与对于提高患者安全和护理质量至关重要.
- 这种方法成功地保持了安全的患者环境,并改善了护理结果.
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