Pressure ulcer prevalence and prevention of nosocomial development: one hospital's experience.
Pressure ulcer prevalence and prevention of nosocomial development: one hospital's experience.
复制标题
压疮的患病率和院内发展的预防：一家医院的经验。
作者：
Jacksich Bb
一个500张病床的急性护理设施需要取代他们的旧内科手术病床，并减少昂贵的使用专科病床和覆盖。在回顾了文献后，该机构将重点放在了44张病床的艾滋病/肿瘤科，首先试用了一张新的治疗床，然后更换了所有的病床。在安置新病床前5天进行患病率调查，此后每月进行一次，共6个月。假设（1）医院内压疮的发生率会降低，（2）专科病床的使用会减少，从而在几个月内显著节省成本，（3）关于病床的使用和患者的适当“分区”会有一个学习曲线。从1995年4月至11月，对256名患者进行了调查。调查前，压疮患病率单位的平均范围为7.5%至15%（医院和入院）。调查后，范围为3%至16%（仅承认溃疡）。在研究期间，无院内压疮发生。减少使用泡沫覆盖层和低空气损失表面，从而节省了83%。使用病床或病人分区没有问题。这些调查结果表明，其他机构可以通过将租金转换为资本资产来实现类似的临床和财务结果。
A 500 bed acute care facility needed to replace their old medical-surgical patient beds and reduce the costly use of specialty beds and overlays. After a review of the literature, the facility focused on the 44-bed AIDS/Oncology unit, first trialing a new therapeutic bed, then replacing all the beds. A prevalence survey was conducted 5 days before the placement of the new beds and monthly thereafter for 6 months. It was hypothesized that (1) incidence of nosocomial pressure ulcers would decrease, (2) use of specialty beds would be reduced, resulting in significant cost savings within a few months, and (3) there would be a learning curve regarding use of the beds and proper "zoning" of patients. From April through November 1995, 256 patients were surveyed. Pre-survey, the average range on the unit for pressure ulcer prevalence was 7.5 to 15% (both nosocomial and admitted). Post-survey, the range was 3 to 16% (admitted ulcers only). Zero nosocomial pressure ulcers developed during the study period. Use of foam overlays and low air loss surfaces decreased, resulting in a savings of 83%. There were no problems with using the beds or zoning patients. These survey results suggest that other institutions could achieve similar clinical and financial outcomes by converting rental dollars to capital assets.