一个皮肤团队的方法来降低心胸重症监护室的压力损伤:质量改善倡议
Aysa Arenas1,2,3,4,5,6,7, Stephanie Sheldrick1,2,3,4,5,6,7, Sarah Sutton1,2,3,4,5,6,7
1Aysa Arenas, MSN, RN, Cardiothoracic Intensive Care Unit, Ronald Reagan UCLA Medical Center, Los Angeles, California.
概括
一个由护士领导的皮肤团队 (ST) 在心胸重症监护室 (CTICU) 减少了医院获得的压力损伤 (HAPI). 尽管没有明显的下降趋势,但HAPI利率仍低于国家基准,表明持续改善.
科学领域:
- 提高质量 提高质量
- 护理干预 护理干预
- 患者安全 患者安全
背景情况:
- 医院获得的压力损伤 (HAPI) 在心胸重症监护室 (CTICU) 的发病率不断上升.
- 需要采取主动策略,防止重症患者的压力损伤.
研究的目的:
- 评估护士领导的皮肤团队 (ST) 对HAPI流行率 (第二阶段及以上) 的影响.
- 评估ST干预措施在专业重症监护机构的有效性.
主要方法:
- 在2011年建立了一个由护士领导的ST,使用计划-做-研究-行动框架.
- 实施基于证据的创新干预措施,包括员工教育,圆形化和监测.
- 分析了2011年至2024年在美国西部CTICU的患者数据.
主要成果:
- 十年来的趋势分析显示,第二阶段和更高的HAPI患病率并没有显著下降.
- 然而,HAPI利率始终低于国家基准.
- 通过ST方法,证明了HAPI率的持续控制.
结论:
- 护士领导的ST模型有效地维持了降低的HAPI率.
- 持续的干预,领导力支持和对优质护理的承诺对于持续的成功至关重要.
- ST方法为重症监护病房的压力伤害预防提供了一个有价值的框架.
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