Wound Care and Pressure Injury Through the Continuum of Care
试验速览
- 阶段
- 不适用
- 入组人数
- 352
- 试验地点
- 1
- 主要终点
- The implementation of evidence-based best practice for wound care in the acute-care setting that is extended into post-acute care will improve outcomes.
研究概览
简要总结
Our primary objective is to understand the impact of our quality improvement objectives on pressure injury and wound care outcomes. We will follow patients admitted to our facility who receive the standard of care for a up to a year. Patients to be followed will fall into one of four groups: acute wounds, chronic wounds, pressure injuries present at time of admission and at risk for pressure injuries.
详细描述
Overall Objective The main objective is to understand the impact of an evidence-based best practice model for wounds and pressure injuries that follows a patient through the continuum of care.
Specific Aims The specific aim is to measure the rates of healing using tissue analytics and the rates of pressure injuries.
The secondary aim measured is patients understanding of their health and the impact on their wound healing, prevention of wound re-opening and pressure injury.
Once we identify the rates we can translate the impact of rates into healthcare dollars and begin to understand the fiscal impact of evidence based practice.
BACKGROUND AND SIGNIFICANCE
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The inclusion criteria includes:
- •18 years and older
- •admitted into acute care with acute wound
- •admitted with chronic wound
- •admitted with pressure injury
- •at risk for pressure injury
排除标准
- •pregnant patients
- •patients under 18
- •known vascular disease
结局指标
主要结局
The implementation of evidence-based best practice for wound care in the acute-care setting that is extended into post-acute care will improve outcomes.
时间窗: 1 year
Rate of wound healing
The implementation of an evidence based pressure injury prevention bundle for patients with existing pressure injuries will prevent new pressure injuries from occurring
时间窗: 1 year
Measurement of occurrence of new pressure injuries for individuals with existing pressure injuries
The extension of a best practice prevention bundle implemented in acute-care and extending into post-acute care will reduce fiscal expenditure.
时间窗: 1 year
Comparison of number of individuals admitted from post acute with pressure injuries to acute acute after receiving education and the fiscal impact.
The implementation of an evidence based pressure injury prevention bundle in acute care that is extended into post-acute care will prevent pressure injuries in high-risk patients.
时间窗: 1 year
Number of individuals who are at risk to develop a pressure injury actually develop pressure injuries
次要结局
未报告次要终点
研究者
Charleen Singh
Director of Wound Care Services
Regional Medical Center of San Jose