The Acero perioperative skin bundle: An intuitive perioperative pressure injury prevention bundle

Q2 Nursing

Perioperative Care and Operating Room Management Pub Date : 2024-10-15 DOI:10.1016/j.pcorm.2024.100436

Lilibeth Acero , Mandy Spitzer

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引用次数: 0

Abstract

Over 40 million major surgeries are performed each year in the US, and perioperative care areas are a high-risk environment for the development of pressure injuries (PI). A unique set of challenges for the prevention of PI is faced during the perioperative period due to prolonged immobility and positioning on a relatively hard surface. The Acero Perioperative Skin Bundle (APSB) was developed to facilitate risk assessment and application of appropriate interventions at a 500+ bed safety-net, teaching hospital. Prior to the implementation of the bundle, there was a perioperative-acquired incidence of 1.9 %, accounting for 38 % of all hospital-acquired PI. In the 24-months following implementation of the bundle the hospital has maintained a perioperative-acquired PI incidence of 0 % (p = .0001). This quality improvement report demonstrates how the implementation of standardized risk assessment and application of evidence-based interventions was cost effective and significantly reduced PI acquired in perioperative care.

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Acero 围手术期皮肤包：直观的围手术期压伤预防包

美国每年进行的大型手术超过 4000 万例，围手术期护理区是发生压力损伤 (PI) 的高风险环境。在围手术期，由于长时间不动和在相对较硬的表面上定位，预防压伤面临着一系列独特的挑战。Acero Perioperative Skin Bundle（APSB）的开发旨在促进风险评估，并在一家拥有 500 多张病床的安全网教学医院应用适当的干预措施。在实施 APSB 之前，围手术期获得性皮肤病的发病率为 1.9%，占所有医院获得性皮肤病的 38%。在实施捆绑计划后的 24 个月内，该医院的围手术期获得性 PI 发生率一直保持在 0% (p = .0001)。这份质量改进报告展示了标准化风险评估的实施和循证干预措施的应用是如何实现成本效益并显著降低围手术期护理中获得的 PI 的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.