Pressure Ulcer Prevention and Treatment Media

描述(由申请人提供)： 压疮是长期医疗保健中的一个重大问题。长期和长期护理环境中的流行率估计在8%左右，在过去十年中似乎稳定。然而，有强有力的论点认为，只要遵循适当的预防标准，压疮在很大程度上是可以预防的，无论患者的Braden风险状况如何。虽然减少到零可能是不现实的，特别是在短期内，由于美国医疗保健系统普遍存在的制度性、系统性和个体性因素，但从目前的发病率降低是可行的，并将通过减少患者后遗症和共同发病率来节省人力和财力。 The Academy Edge，Inc.(AEI)建议开发一套教育材料，以满足上面确定的两个需求：预防和治疗。这些资料将通过位于万维网和其他媒体上的“压疮门户网站”提供。这些材料将是互动性的、准确的、有效的和可扩展的。该网站将从预防和治疗两个方面解决压疮，并将为卫生保健专业人员量身定做。在第一阶段，AEI将：1)展示开发压疮媒体和门户的可行性，2)展示AEI努力教育用户有关压疮预防、诊断和干预资源的能力，最终目标是提高医疗保健专业人员的预防和治疗技能。具体地说，原型站点将提供风险因素和预防资源，以及治疗资源。第一阶段治疗的重点将是伤口评估技能，目标是来访护士和家庭保健工作者。在第一阶段项目期间将完成四项具体活动：1)确定具体内容、组织和演示，并与我们的顾问委员会(布莱克博士、奥尔尚斯基博士、菲什曼博士和赫尔曼博士)一起制定设计要求文档，并得到其验证。2)通过对www.Medicaledu.com上的电子邮件流量进行追溯内容分析来完成需求评估，以验证将在第二阶段完成的最终产品开发的内容要求。3)根据设计要求文档开发原型站点，并根据规范构建站点。4)通过主题专家评审、最终用户焦点小组评审以及互动技能练习和站点原型的量化和可用性评估来验证原型。

DESCRIPTION (provided by applicant): Pressure ulcers are a significant problem in long-term health care. Estimates of prevalence in the long-term and extended care environments cluster around 8 percent and appear stable over the past decade. Yet it has been forcefully argued that pressure ulcers are largely preventable regardless of a patient's Braden Risk profile when proper precautionary standards of practice are followed. While reduction to zero may be unrealistic, especially in the near-term as a result of institutional, systemic, and individual factors endemic to the U.S. health care system, nonetheless a reduction from the present rates of incidence is feasible and would yield human and financial savings through diminution of patient sequelae and co-morbidity. The Academic Edge, Inc. (AEI) proposes to develop a suite of educational materials to address the two-fold need identified above: prevention and treatment. These are to be delivered via a "pressure ulcer portal" located on the World Wide Web as well as other media. The materials will be interactive, accurate, effective, and extensible. The site will address pressure ulcers in terms of both prevention and treatment and wilt be tailored for health care professionals. In Phase I, AEI will: 1) demonstrate the feasibility of developing the pressure ulcer media and portal, and 2) demonstrate the effort's capacity to educate users regarding pressure ulcer prevention, diagnosis and intervention resources with the ultimate goal of improving healthcare professionals' prevention and treatment skills. Specifically, the prototype site will present risk factor and prevention resources, and treatment resources. Phase I treatment focus will be on wound assessment skills and will be targeted to visiting nurses and home healthcare workers. Four specific activities will be completed during the Phase I project: 1) Identify the specific content, its organization and presentation, and develop a Design Requirements Document, in conjunction with - and validated by - our Advisory Board (Drs. Black, Olshansky, Fishman, and Herman). 2) Complete a needs assessment through a retrospective content analysis of email traffic at www.medicaledu.com for the purposes of verifying the content requirements for the final product development to be accomplished in Phase II. 3) Develop the prototype site according to the Design Requirements Document, and build the site according to specifications. 4) Validate the prototype through a subject matter expert review, an end-user focus group review, and a quantitative and usability evaluation of the interactive skills exercises and the site prototype.