实施减少和管理医院获得的压力的战略:质量改进计划
Michela Bottega1, Sandra Migotto1, Stefania Avoni1
1Chief Nurse Office, Azienda Unita Locale Socio Sanitaria (AULSS) 2 Marca Trevigiana, Treviso, Italy.
Journal of wound care
|December 4, 2025
概括
这项质量改进项目在六家医院进行了标准化的压力 (PU) 风险评估和管理. 虽然PU患病率保持稳定,但该倡议提高了护理保健投资的数据可靠性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 压力 (PUs) 在医疗保健环境中构成了重大挑战.
- 有效的预防和管理策略对于患者的福祉和降低医疗保健成本至关重要.
- 质量改进项目对于标准化护理和改善患者结果至关重要.
研究的目的:
- 根据SQUIRE指南,实施基于压力 (PU) 预防和管理的护理包.
- 描述一个以提高PU护理为重点的质量改进项目.
- 为了规范PU风险评估和管理协议.
主要方法:
- 在意大利六家医院 (2002-2020年) 的医疗,外科和重症监护部门进行了一项质量改善项目.
- 实施涉及传播PU护理标准,吸引护士管理人员,并采用PU风险评估的临床工具.
- 关键策略包括为布拉登分数范围制定决策算法,定义监控的PU,建立审计系统.
主要成果:
- 质量改进计划促进了组织干预的结构化计划,影响领导,人员,IT,绩效和改进.
- 没有观察到PU患病率的显著变化 (剩余约11%).
- 实现了PU风险评估和提供气的标准化,并实施了基于证据的PU预防和管理包.
结论:
- 质量改进计划可以加强对PU预防和管理的基于证据的实践的坚持.
- 在现实环境中,测量PU率的直接降低可能具有挑战性.
- 标准化临床实践为有针对性的护理投资产生可靠的数据,并建立一个审计框架来评估结果.
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