Reduction in the incidence of pressure ulcers upon implementation of a reminder system for health-care providers

To measure the clinical impact of the introduction of a reminder system for healthcare professionals to alert patients who are at risk for pressure ulcers (PU). This was a pre- and post-test study of patients who were discharged from 6 medical–surgical units of the University Hospital of Fuenlabrada...

Full description

Saved in:
Bibliographic Details
Published in:Applied nursing research 2016-02, Vol.29, p.107-112
Main Authors: Sebastián-Viana, T., Losa-Iglesias, M., González-Ruiz, J.M., Lema-Lorenzo, I., Núñez-Crespo, F.J., Salvadores Fuentes, P.
Format: Article
Language:English
Subjects:
Adverse effects
Aged
At risk
Computer Systems
Computers
Discharge
Discharged
Electronic health records
Female
Health Personnel
Health professionals
Humans
Male
Medical Records
Medical records systems-computerized
Nurses
Nursing
Patients
Pressure sores
Pressure ulcer
Pressure Ulcer - prevention & control
Regression analysis
Reminder Systems
Reminders
Risk assessment
Ulcers
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To measure the clinical impact of the introduction of a reminder system for healthcare professionals to alert patients who are at risk for pressure ulcers (PU). This was a pre- and post-test study of patients who were discharged from 6 medical–surgical units of the University Hospital of Fuenlabrada in 2009 and 2010. Beginning in January 2010, implementation of an on-screen list of reminders was automatically updated daily on the units' computers including patient arrival date, last assessment of ulceration risk and location of any PU. The cumulative incidence of PU was measured for patients discharged in 2009 (group A: healthcare professionals were not exposed to on-screen reminder) and 2010 (group B: healthcare professionals were exposed to on-screen reminder list). The relative risk (RR) was estimated. The study was completed with a stratified analysis and binary logistic regression. In group A, there were 84 cases of PU among 9263 patients discharged (0.9%); whereas in group B, there were 59 cases among 9220 patients discharged (0.6%). The RR of PU for group B/group A was 0.706 (p=0.038). In the logistic regression analysis, after adjusting for study variables, the odds ratio of PU B/A was 0.558. A list of on-screen reminders at the beginning of a healthcare professional's shift to inform them of patients at risk for developing a PU was effective at reducing the incidence of these clinical burdens.
ISSN:0897-1897
1532-8201
DOI:10.1016/j.apnr.2015.05.018