Post on 27-Jun-2020
Pressure Ulcer Management
Pearl Chan
SNO
On behalf of QMH
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Acknowledgement to QMH staff
3
Pressure Ulcer ManagementPatient�s JourneyPerform for every patientOn admissionInitial Nursing Assessment on Patient Admission/TransferDaily assessment Nursing care plan
Identify risks/ presence of pressure ulcer during hospitalisationManagement of pressure ulcer
4
Prevention/ Management of Pressure Ulcer
Daily management in wardsMultidisciplinary approachNamed nurse Expertise in each ward for back-up and
consultationReferrals to other health care professionals Referrals to Nurse Specialist for complicated
casePre-discharge planning and related education
5
Prevention/Management of pressure ulcer
On discharge
Education
Referrals to Community Centre / NGO
6
Care and Skill enhancement for our colleagues/ partners
In-house training courses for patient care assistantsTraining for Nurses Sharing with international counterparts as publication and posters presentationLecturing other nurses in China and worldwideTraining for community dwellersTraining for other healthcare professionals working in the community
77
Nursing Quality Indicator :Hospital Acquired Pressure Sore
Incident Rate Our result
88
Nursing Quality Indicator
Implementation Self-reporting by wards monthlyHospitals report to Nursing Department, HAHO quarterlyBenchmarking and sharing among hospitalsBenchmarking results are reviewed Identification possible improvement measures
99
Benchmarking of HA Hospitals
1010
PRESSURE ULCER RATES (ALL GROUPS)
0.41
0.35
0.15
0.12
0.370.
45
0.34
0.04 0.
20
0.400.44
0.34
0.15 0.19
0.400.
56
0.36
0.19 0.
33 0.49
0.00
0.20
0.40
0.60
Group 1 Group 2 Group 3 Group 5 HA(ALL)
Hospital Groups
per
1000
pat
ient
bed
days
2Q 09
3Q 09
4Q 09
1Q 10
PRESSURE ULCER RATES(GROUP 1 HOSPITALS)
0.07
0.04
0.72
0.23
0.74
0.41
0.47 0.
71
0.52
0.16
0.10
0.64
0.31 0.
42
0.020.
27
0.04
0.97
0.07
0.75
0.53 0.
76
0.59
0.64
0.10
0.02
0.69
0.34 0.
41
0
0.53
0.04
0.96
0.27
0.62
0.36
0.73
0.65
0.39
0.21
0.05
0.48
0.32 0.
57
0.06
0.90
0.21
1.39
0.22
0.81
0.34
0.82
0.61
0.65
0.18
0.17 0.
47
0.37
0.43 0.
51
0.00
0.50
1.00
1.50
AHNG CMC KWH NDH PMH POH PWH PYNEH QEH QMH RHTSK TKOH TMH UCH YCH
Hospital
per
1000
pat
ient
bed
days
2Q 09
3Q 09
4Q 09
1Q 10
Benchmarking of HA Hospitals
11
ACHS Surveyor�s Comment57 pressure ulcers in 12 monthsWound Management Nurse Consultant
Oversee all wound management in QMH and cluster hospitals
Presenters at conferences and workshops in Hong Kong and other countries
Publications in Chinese and English Awards attained Training materials and educational leaflets Education for carers at homes and Old Aged Homes
Benchmarking with international hospitals
12
Way Forward
Revision of the HKWC Pressure Ulcer Management Guideline
Standardization of the wound management regime
Refresher training for nursing staff and care-related support workers
Promotion of experience sharing among cluster hospitals
1313