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要问题。在长期和扩展护理环境中的患病率估计约为8%，在过去十年中似乎保持稳定。然而，有人强烈认为，无论患者的布雷登风险状况如何，只要遵循适当的预防实践标准，压疮在很大程度上是可以预防的。虽然减少到零可能是不现实的，特别是在短期内，由于美国卫生保健系统特有的机构，系统和个人因素，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合并症节省人力和财力。 The Academic Edge，Inc. (AEI)建议编制一套教育材料，以满足上述双重需要：预防和治疗。这些将通过位于万维网以及其他媒体上的“压力性溃疡门户”提供。这些材料将是互动的，准确的，有效的，可扩展的。该网站将在预防和治疗方面解决压疮问题，并将为医疗保健专业人员量身定制。在第一阶段，AEI将：1）证明开发压疮媒体和门户网站的可行性，以及2）证明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。具体而言，原型网站将提供风险因素和预防资源以及治疗资源。第一阶段的治疗重点将是伤口评估技能，并将针对来访的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（Black、Olshansky、Fishman和赫尔曼博士）一起制定设计要求文档，并由顾问委员会进行验证。2)通过对www.medicaledu.com上的电子邮件流量进行回顾性内容分析，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《设计需求文件》开发原型网站，并按规范建设网站。4)通过主题专家审查、最终用户焦点小组审查以及对互动技能练习和网站原型的定量和可用性评价，对原型进行验证。

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.