A Report of Clinical Audit for Prevention and Improvement of Bedsore in Southwest Iran

  • Nader Pazyar Dermatology Department, Emam Khomeini University Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Nasrin Fatemi Department of Clinical Audit, Golestan University Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Nosrat Mirzai Neurosurgery Intensive Care Unit, Golestan University Hospital, Ahvaz Jundishapur University of Medical science, Ahvaz, Iran.
  • Mohammad Jahangir General Physician, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
  • Farahnaz Rasooli Clinical Nurse Manager, Golestan University Hospital, Ahvaz Jundishapur University of Medical science, Ahvaz, Iran.
  • Shahrzad Attarzadeh Clinical Nurse Unit, Golestan University Hospital, Ahvaz Jundishapur University of Medical science, Ahvaz, Iran.

Abstract

Objective:  Pressure ulcer is areas of necrosis caused by external pressure on bony prominences with a prevalence of 10-22%.
Methods: This study was conducted to improve prevention and care of bedsore by clinical audit at Ahvaz Golestan Hospital. We included hospitalized patients at the risk of bedsore in general, special and emergency units at Ahvaz Golestan Hospital during a 6-month period. In accordance to the clinical audit cycle, the current situation was assessed by observation and consultation. After finding weakness points, proper interventions were implemented based on NICE guidelines for bedsore. Subsequently, another audit was performed to assess the effectiveness of intervention.
Results: Comparison of results before and after intervention showed an increase in all studied variables. The changes in studied variables are listed as following: bedsore reduction (p=0.001), patients' assessment during the first 6 hours of hospitalization (p=0.008), assessment of external pressure (p=0.001), change position (p=0.001), care standards (p=0.170) and skin friction (p=0.001). The highest increase was seen in change position (p=0.001) and the lowest increase was seen in maintaining adequate skin hygiene (p=0.360).
Conclusions: Clinical audit led to improvement of prevention and treatment quality of bedsore and also formulation and implementation of standards of care.
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Published
2020-12-24
How to Cite
PAZYAR, Nader et al. A Report of Clinical Audit for Prevention and Improvement of Bedsore in Southwest Iran. Journal of Contemporary Medical Sciences, [S.l.], v. 6, n. 6, dec. 2020. ISSN 2413-0516. Available at: <http://www.jocms.org/index.php/jcms/article/view/826>. Date accessed: 14 apr. 2021. doi: https://doi.org/10.22317/jcms.v6i6.826.