Practical perspective on pressure ulcer data and information to facilitate management practices that reduce the incident ratio to less than 1%

Abstract

　Purpose: To clarify a practical prespective on a pressure ulcer data and information.
　Materials: Pressure ulcer prevention team in A hospital.
　Method: Pressure ulcer surveillance records and PDCA management data were analyzed by qualitative research method.
　Results: There were 1,598 codes and 20 sub categories collected from documents and the data were analyzed. Analyses were divided six categories and one sub category. Categories: 1）Accurate data collection and charting during the early stage of intervention; 2）Detection of environmental/care factors from the position, shape and context of preventive care for pressure ulcers; 3）Identify hospital management issues based on individual patient environmental/care factors; 4）Identify the stage of wound and environmental/care factors, then adapt care practices; 5）Continue “Kaizen” action based on Plan-Do-Check-Act（PDCA）cycle; and 6）Proper pressure-reducing mattress control using one-day survey data of patient wound stages and necessity.-Sub category: Purchase negotiations for pressure-reducing mattress es after obtaining proof of cost-effective nursing care.
　Conclusion: Viewpoint of the the practical a pressure ulcer data and information indicated that PDCA pressure ulcer management led a skilled care and quality control for individual patient.