调整压力损伤预防过程以减少深层组织压力损伤:质量改进项目
Kaitlin Denson1,2, Krista Jones1,2
1Kaitlin Denson, DNP, APRN, FNP-C, CWCN-AP, Wound Care Service, Sarah Bush Lincoln Health System, Mattoon, Illinois.
概括
一个质量改进项目成功地使用预防包消除了医院获得的深层组织压力损伤 (DTPI). 这一举措还促进了护理知识和遵守协议,证明了患者护理的显著改善.
科学领域:
- 提高医疗保健的质量 改善医疗保健的质量
- 患者安全研究 患者安全研究
- 临床护理实践 临床护理实践
背景情况:
- 医院获得的深层组织压力损伤 (DTPI) 对患者的福祉构成重大风险,并增加医疗保健成本.
- 有效的预防策略对于改善急性护理机构患者的治疗结果至关重要.
研究的目的:
- 实施和评估一套旨在在六个月内减少医院获得的深层组织压力损伤 (DTPI) 的预防包.
- 评估聚合物膜包装专注于预防捆绑对密集和渐进性护理单位DTPI率的影响.
主要方法:
- 一个质量改善项目在一个中西部农村医院的重症监护和渐进治疗病房中进行.
- 该项目利用了卫生保健改进研究所的变化心理学框架,结合了调查,观察和图表审计.
- 在实施前和后的调查中,测量了护理知识和关于DTPI预防的协议遵守.
主要成果:
- 实施后没有检测到医院获得的DTPI或现有DTPI的进展.
- 护士调查表明,对DTPI预防协议的知识增加和遵守程度提高.
- 该项目显示,减少了DTPI,并带来了财政效益.
结论:
- 实施的预防包有效减少了医院获得的DTPI,提高了患者的护理和安全.
- 该项目提高了护理知识和协议遵守,有助于更好的临床决策.
- 保持这些改进,并将预防包扩展到其他单位是未来的关键战略.
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