Implementation of a New Policy Results in a Decrease of Pressure Ulcer Prevalence

22.00
Hdl Handle:
http://hdl.handle.net/10755/151511
Type:
Presentation
Title:
Implementation of a New Policy Results in a Decrease of Pressure Ulcer Prevalence
Abstract:
Implementation of a New Policy Results in a Decrease of Pressure Ulcer Prevalence
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:De Laat, Erik, RN, MSc
P.I. Institution Name:Radboud University Nijmegen Medical Centre
Title:coordinator nursing research
Co-Authors:Lisette Schoonhoven, RN, PhD; Peter Pickkers, MD, PhD; AndrT Verbeek, MD, PhD; Theo Van Achterberg, RN, PhD
Objective: To determine the effects of a hospital guideline for pressure ulcer care combined with visco-elastic foam mattresses in all patients on the efficiency of the prevention and treatment of pressure ulcers. Design: Patients hospitalised in a university hospital were included. A series of one-day prevalence measurements was performed. Six hundred seventy four patients were included in this study before the implementation, 756 patients 4 months after the implementation, and 771 patients 11 months after the implementation . Main Measures: Comparisons before versus after the implementation were made regarding (i) the care behaviour of nurses, (ii) the prevalence of pressure ulcers, (iii) the cost of illness of pressure ulcer care. Results: Inadequate prevention and in inadequate treatment were reduced by 17% [11-23] to 19% [13-24] and 28% [11-45] respectively. Excluding the use of mattresses as a positive indicator for care behaviour, we found only a minor insignificant increase in adequate pressure ulcer prevention. In adequate treatment activities we found no significant difference. Overall we found a significant decrease in pressure ulcer prevalence from 21% to 16% (Pd=5% [1-9]) after 4 months and 13% (prevalence difference =8% [4-12]) after 11 months. In our study hospital a relatively small investment (Ç50,000) resulted in a decrease of the pressure ulcer prevalence that is associated with an estimated cost saving of Ç862,000. Conclusion: Implementation of a hospital guideline on pressure ulcer care and a new visco-elastic polymer foam mattress results in a significant decrease in pressure ulcer care and cost savings. This was mainly due to the introduction of the new mattress and to a much lesser degree to the change in care behaviour of the nurses.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of a New Policy Results in a Decrease of Pressure Ulcer Prevalenceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151511-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of a New Policy Results in a Decrease of Pressure Ulcer Prevalence</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">De Laat, Erik, RN, MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Radboud University Nijmegen Medical Centre</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">coordinator nursing research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">e.delaat@zorg.umcn.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lisette Schoonhoven, RN, PhD; Peter Pickkers, MD, PhD; AndrT Verbeek, MD, PhD; Theo Van Achterberg, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: To determine the effects of a hospital guideline for pressure ulcer care combined with visco-elastic foam mattresses in all patients on the efficiency of the prevention and treatment of pressure ulcers. Design: Patients hospitalised in a university hospital were included. A series of one-day prevalence measurements was performed. Six hundred seventy four patients were included in this study before the implementation, 756 patients 4 months after the implementation, and 771 patients 11 months after the implementation . Main Measures: Comparisons before versus after the implementation were made regarding (i) the care behaviour of nurses, (ii) the prevalence of pressure ulcers, (iii) the cost of illness of pressure ulcer care. Results: Inadequate prevention and in inadequate treatment were reduced by 17% [11-23] to 19% [13-24] and 28% [11-45] respectively. Excluding the use of mattresses as a positive indicator for care behaviour, we found only a minor insignificant increase in adequate pressure ulcer prevention. In adequate treatment activities we found no significant difference. Overall we found a significant decrease in pressure ulcer prevalence from 21% to 16% (Pd=5% [1-9]) after 4 months and 13% (prevalence difference =8% [4-12]) after 11 months. In our study hospital a relatively small investment (&Ccedil;50,000) resulted in a decrease of the pressure ulcer prevalence that is associated with an estimated cost saving of &Ccedil;862,000. Conclusion: Implementation of a hospital guideline on pressure ulcer care and a new visco-elastic polymer foam mattress results in a significant decrease in pressure ulcer care and cost savings. This was mainly due to the introduction of the new mattress and to a much lesser degree to the change in care behaviour of the nurses.</td></tr></table>en_GB
dc.date.available2011-10-26T11:04:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:04:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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