Long‐Term Care Liability for Pressure Ulcers
Long‐Term Care Liability for Pressure Ulcers
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压疮的长期护理责任
DOI：
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发表时间：
2005
影响因子：
6.3
通讯作者：
Peter W. Hahn
中科院分区：
文献类型：
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作者：
A. Voss;Stacy A. Bender;M. Ferguson;A. Sauer;R. Bennett;Peter W. Hahn
超过 20% 在长期护理 (LTC) 机构中居住 2 年或以上的居民会出现至少一种压疮 (PU)。居民遭受疼痛、毁容和生活质量下降，患病和死亡的风险增加。长期护理中心设施面临着居民、他们的家人和测量员的谴责以及昂贵的诉讼的威胁。诉讼通常是基于居民与 PU 或其支持者的争论，即 LTC 设施疏忽大意，未能提供按照行业标准必须提供的护理来预防或处理此类伤口（管理压力、失禁和营养）。本文提供了 1999 年和 2002 年的数据，表明与 PU 相关的诉讼对于 LTC 所有者和护理提供者来说越来越普遍且成本高昂。在 87% 的案件中，居民实现了对该设施的某种类型的赔偿（对居民的判决加上和解），并获得高达 3.12 亿美元的损害赔偿。即使长期护理中心的管理人员认为其设施的护理等于或超过行业标准，也经常在庭外解决诉讼，以避免陪审团裁决。数据还显示，陪审团对由多种因素引起的 PU 授予最高奖项，而对由单一因素引起的 PU 授予最高奖项时，该因素是营养不足。 LTC 提供者可以通过制定、实施和记录预防 PU 的基本措施计划，帮助改善居民的健康和生活质量，改善调查结果，并最大限度地降低昂贵的诉讼风险。
More than 20% of residents who have been in long‐term care (LTC) facilities for 2 or more years will develop at least one pressure ulcer (PU). Residents suffer pain, disfigurement, and decreased quality of life, and their risk of illness and death increases. LTC facilities face censure from residents, their families, and surveyors and the threat of expensive lawsuits. Lawsuits are typically based on contentions of residents with a PU—or their advocates—that the LTC facility was negligent and failed to provide the care that, by industry standards, it must provide to prevent or manage such wounds (managing pressure, incontinence, and nutrition). In this article, data from 1999 and 2002 are presented, showing that lawsuits related to PUs are increasingly common and costly for LTC owners and care providers. Residents realized some type of recovery against the facility in 87% of the cases (verdicts for the resident plus settlements) and were awarded amounts as high as $312 million in damages. Even LTC administrators who believe that care in their facility equals or exceeds industry standards often settle lawsuits out of court to avoid jury verdicts. The data also show that jury awards were highest for PUs caused by multiple factors and that the highest awards for PUs caused by a single factor were seen when that factor was inadequate nutrition. LTC providers can help improve the health and quality of life of their residents, improve survey results, and minimize their risk of expensive lawsuits by developing, implementing, and documenting a plan of basic measures to prevent PUs.
压疮：最小数据集和住院医师评估协议。
DOI：
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发表时间：
1995
期刊：
Advances in wound care : the journal for prevention and healing
影响因子：
--
作者：
Brandeis,GH;Berlowitz,DR;Hossain,M;Morris,JN
通讯作者：
Morris,JN