運用科技降低急診壓力性損傷發生率

Assisted Technology to Reduce the Incidence of Pressure Injuries in Emergency Department

壓力性損傷為醫療照護品質之指標項目之一，急診病人一旦發生壓力性損傷會增加醫療成本支出、延長留置醫院時間及人力負荷。鑒於單位自2023年1至8月壓傷平均發生密度為2.35%，遂行專案改善，經現況分析發現主要問題為：護理師預防壓傷認知不足、護理師執行預防壓傷不足、減壓輔具未及時提供、缺乏護理指導工具、缺乏臨床稽核制度。改善措施為：宣導預防壓傷之措施與使用「PPAP皮膚幼咪咪」口訣幫助記憶、製做「預防壓傷電子書」、製作「預防壓傷海報」、使用預防壓傷多國語言版聊天機器人、設置「尿布敷料放置區」並進行稽核後，至2024年2月壓傷平均發生密度降為1.6%，本專案可作為臨床上預防壓傷改善之參考。

Pressure injuries indicate medical care quality. If emergency patients suffer from pressure injuries, it will increase medical costs, extend hospital stay, and increase manpower load. An improvement project was implemented because the average incidence density of pressure injuries per unit from January to August 2023 was 2.35%. After analyzing the current situation, the following problems were determined; insufficient awareness of pressure injury prevention by nurses, insufficient implementation of pressure injury prevention by nurses, and pressure reduction assistive devices are not provided on time, lack of nursing guidance tools, and lack of a clinical audit system. Improvement measures include disseminating measures to prevent pressure injuries and using the“PPAP Skin Baby Puppy”formula to help memory, making“Prevention of Pressure Injury e-books and posters,”using the multi-language version of Pressure Injury Prevention to chat robots, and establishing a“diaper dressing placement area.”After conducting audits, the average density of pressure injuries dropped to 1.6% by February 2024. This project can be used as a reference to improve the prevention of clinical pressure injuries.