早期识别,干预和预防医院获得的压力损伤使用护士驱动的压力损伤预防计划
1Author Affiliations: Rehab Clinical Nurse Specialist (Dr McCray) and Instructor (Dr Donaldson), US Army, University of South Alabama, Mobile, Alabama.
Clinical nurse specialist CNS
|August 19, 2024
概括
一个由护士驱动的计划通过实施最佳实践和患者参与,显著减少了医院获得的压力损伤 (HAPI). 工作人员的能力和文档也得到了改善,导致干预后的压力损伤为零.
科学领域:
- 提高医疗保健的质量 改善医疗保健的质量
- 患者安全倡议 患者安全倡议
- 护理实践 护理实践
背景情况:
- 医院获得的压力损伤 (HAPI) 会导致患者的不良结果,包括疼痛,感染和长时间住院治疗.
- 有效的预防策略对于改善患者护理和降低医疗保健成本至关重要.
研究的目的:
- 将HAPI率降低到每1000个患者日中的1.177以下.
- 提高员工在压力伤害预防最佳实践方面的能力.
- 通过皮肤检查,让患者参与预防,并改善文件合规性.
主要方法:
- 实施护士驱动的压力伤害预防计划,利用基于证据的教育和医疗保健研究和质量机构的压力预防途径.
- 引入患者皮肤循环,以提高参与度.
- 专注于护理教育,员工能力评估,以及对HAPI费率和文档的日常审计.
主要成果:
- HAPI率显著下降,从每1000个患者日的1.177降至0.272.
- 该单位在干预后实现并保持零压力伤害.
- 在日常压力伤害护理,文件合规性以及员工在预防和早期检测方面的知识/技能方面观察到的改善.
结论:
- 一个由护士驱动的压力伤害预防计划有效地降低了HAPI率.
- 该计划提高了员工能力和患者参与度,有助于持续零压力伤害率.
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