By Mary Gottwald, Gail Lansdown
This is often an obtainable and sensible consultant to scientific governance in healthcare, designed to aid practitioners and scholars bring greater care to patients.
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Extra info for Clinical Governance: Improving The Quality Of Healthcare For Patients And Service Users
During 2000, falls accounted for close to 750,000 admissions and 45% of all inpatient injury related admissions. Fractures were the most common diagnosis, with 314,006 hip fractures. 2 billion for fatal injuries. Collerton et al. (2012) focused their study on the over 85s, the fastest growing age group in the UK. 6% had a fracture. 9% were admitted more than once for the same incident. Patients living in a care home were more likely to fracture and require hospital admission than those living in their own homes.
Pressure ulcers (PUs) Pressure ulcers (PUs) are a common but usually preventable condition most often seen in older adults. 9% in long-term care and 0%–17% in home care (Holroyd-Leduc and Reddy 2012). PUs are generally a marker of poor overall prognosis and may, due to sepsis, contribute to mortality. However, PUs can also occur in children, and in particular those related to medical device-related (MDR) hospital acquired pressure ulcers (HAPUs). Paediatric MDR HAPUs are increasing, and their management and emotional suffering have a great impact on the health status of infants and children (Murray et al.
They initiated a QI leadership team, measured PU rates, developed a QI bundle and audited the PU rates after implementation. They achieved a 50% reduction in PUs in the PICU, but no significant reduction in the NICU. Psychological impact of PUs Researchers have recently shown an interest in the psychological impact of PUs. Gorecki et al. (2009) conducted a systematic review in which they reviewed the responses of 2463 adults with PUs in hospitals, the community and long-term care settings. Their research spanned Europe, the Unites States, Asia and Australia.