Eliminating Facility-Acquired Pressure Ulcers at Ascension Health
Eliminating Facility-Acquired Pressure Ulcers at Ascension Health
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DOI：
10.1016/s1553-7250(06)32064-8
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发表时间：
2006-09-01
影响因子：
2.3
通讯作者：
Jones, Polly
中科院分区：
文献类型：
--
作者：
Gibbons, Wanda;Shanks, Helana T.;Jones, Polly
背景资料：2004年，作为Ascension Health的“安全医疗保健”倡议的一部分，圣文森特医疗中心作为一个阿尔法站点，负责定义消除设施获得性压疮的最佳实践。一个全面的计划，包括“皮肤”（表面，保持病人转动，Increased管理，营养）bundle，是developed.Results：压疮的发病率从2004年12月到2006年2月下降到> 2%< 1%。2004年8月至2006年2月期间，没有新的III期或IV期机构获得性压疮发生。每周的皮肤操作会议和使用的皮肤过程工具，确保所有处于危险中的病人接受适当的interventions.Reporting和传播：阿尔法网站的工作和皮肤束被提交给所有67个Ascension健康急性护理设施在快速设计格式的压力溃疡峰会在2005年中期。所有急性护理设施同意使用皮肤束和质量和performance.Discussion的共同措施的护理的单一模式：圣文森特的阿尔法网站在压疮预防的倡议，使其能够识别高危人群，实施适当的行动，并实现积极的，可衡量的，有意义的result.Conclusion：皮肤程序被通过，并正在实施整个Ascension健康。
Background: In 2004, as part of Ascension Health's "Healthcare That Is Safe" initiative, St. Vincent's Medical Center, as an alpha site, was charged with defining best practices to eliminate facility-acquired pressure ulcers. A comprehensive plan, including the "SKIN" (Surfaces, Keep the patients turning, Incontinence management, Nutrition) bundle, was developed.Results: The incidence of pressure ulcers decreased from > 2% to < 1% from December 2004 through February 2006. No new Stage III or IV facility-acquired pressure ulcers occurred between August 2004 and February 2006. Weekly SKIN operations meetings and use of the SKIN process tool ensured that all at-risk patients were receiving appropriate interventions.Reporting and Spread: The alpha site work and SKIN bundle were presented to all 67 Ascension Health acute care facilities at a rapid-design-format Pressure Ulcer Summit in mid 2005. All acute care facilities agreed to a single model of care using the SKIN bundle and common measures of quality and performance.Discussion: The St. Vincent's alpha site initiative in pressure ulcer prevention, enabled it to identify at-risk populations, implement appropriate actions, and achieve positive, measurable, meaningful results.Conclusion: The SKIN program was adopted and is being implemented throughout Ascension Health.