Abstract
We have developed a management system of pressure ulcer as a part of the hospital risk management, considering that the occurrence and worsening of pressure ulcers as risk factors to the hospital management. This system consists of following 6 elements: 1, Introduction of the common 2-step standard of the pressure risk assessment (primary and secondary judgment) to all staffs of the hospital and construction of the care standard for pressure ulcer based on the assessment. 2, Centralization of reports on the occurrence of pressure ulcer and the supply of the pressure relieving mattresses. 3, Intervention of the nutritionists to the hyponutritious patients. 4, Introduction of the critical path (CP) to the treatment of pressure ulcer. 5, Submission of the incident reports on the case of worsened ulcer. 6, Education system for the hospital staffs (6 times of wound care seminar every year). There have been effects of introduction of this system as followings; 1, With the two-step scientific assessment, man-power could be reduced to the minimum and adequate preventing measure and care could be offered. 2, Centralized control system has made it possible to give the precise knowledge of the occurrence of pressure ulcer and to make an adequate distribution and effective usage of the pressure relieving mattresses. 3, Introduction of the CP have made it possible to have a standardized and high-grade care and to reduce the length of the hospital stay. 4, Both the occurrence and the worsening of the pressure ulcer have been highly reduced.
In conclusion, in making an adequate measure for pressure ulcer as a whole hospital, it is very important to make an adequate system of management and education.
