Application and evaluation of the International Guidelines for Clinical Treatment of Pressure Injury based on LSPI quality improvement framework
10.3969/j.issn.1671-8283.2024.04.010
- VernacularTitle:基于LSPI质量改进框架的压力性损伤临床防治国际指南的应用与评价
- Author:
Fanfan WANG
1
;
Min ZHUANG
;
Sanlian HU
;
Jun MA
;
Yifang SU
Author Information
1. 上海交通大学医学院附属第六人民医院 手术室,上海,200233
- Keywords:
pressure injury;
leadership-staff-performance improvement-information technology quality improvement;
International Guidelines for the Clinical Prevention and Treatment of Pressure Injuries;
nursing management;
pre-and post-control study
- From:
Modern Clinical Nursing
2024;23(4):60-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the effect on implementation of the International Guidelines for Clinical Treatment of Pressure Injuries within leadership-staff-performance improvement-information technology(LSPI)framework of quality improvement,therefore to provide theoretical insights in promoting the transformation of prevention and treatment practice guidelines to clinical practices.Methods A pre-and post-control study was in this study.A total of 101 005 inpatients admitted to our hospital between July 2019 and June 2020 were assigned to a control group,and the other 110 824 patients who were hospitalised between July 2020 and June 2021 were assigned to a trial group.The two groups were compared in terms of the promptness rate and accuracy of primary risk assessment,response rate of high-risk patients and incidence of pressure injury before and after implementation of the guideline.Results After implementation of the guideline,the promptness rate and the accuracy of primary risk assessment and the rate of preventive measures in high-risk patients increased from 86.73%to 96.25%,93.46%to 98.69%and 94.21%to 98.15%,respectively.The incidence of hospital pressure injury decreased from 0.77‰ to 0.29 ‰.All the differences were statistically significant(all P＜0.05).Conclusions Implementation of the International Guidelines for the Clinical Treatment of Pressure Injuries within the LSPI framework of quality improvement can improve the quality of process management in pressure injury and reduce the incidence of pressure injuries.Therefore,it can facilitate the guideline-based code of practice in the clinical practices.
