Reducing hospital-acquired pressure injuries.

Autor:	Al-Otaibi YK; General Department of Medical Services, Quality & Patient Safety, Riyadh, Saudi Arabia., Al-Nowaiser N; General Department of Medical Services, Quality & Patient Safety, Riyadh, Saudi Arabia., Rahman A; General Department of Medical Services, Quality & Patient Safety, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	BMJ open quality [BMJ Open Qual] 2019 Feb 13; Vol. 8 (1), pp. e000464. Date of Electronic Publication: 2019 Feb 13 (Print Publication: 2019).
DOI:	10.1136/bmjoq-2018-000464
Abstrakt:	Hospital-acquired pressure injury is a common preventable condition. Our hospital is a 144-bed governmental hospital in the Kingdom of Saudi Arabia that was found to have a 7.5% prevalence of hospital-acquired pressure injury in 2016. The aim of the improvement project was to reduce the prevalence of pressure injuries in our hospital from 7.5% to below 4% by the end of 2017. Our strategy for improvement was based on the Institute for Healthcare Improvement Model for Improvement. The change strategy was based on implementing an evidence-based risk assessment tool and a bundled evidence-based pressure injury prevention (PIP) intervention termed PIP bundle. After implementing the change package, we observed a reduction in the prevalence of pressure injuries by 84% (RR 0.16;95% CI 0.07 to 0.3; p value <0.0001) over a period of 12 weeks, in addition to an improvement in the compliance of pressure injury risk assessment and PIP interventions. The use of an evidenced-based bundled approach to prevent hospital-acquired pressure injuries has resulted in a significant reduction in the rate of pressure injuries. Improvement results were sustainable. In addition, our outcome measure exhibited minimal variability. Competing Interests: Competing interests: None declared.
Databáze:	MEDLINE
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