Evaluation of electronic pressure injury alarm prototype based on user acceptance testing at hospital acquired pressure injury

2021 ◽  
Vol 31 ◽  
pp. S432-S435
Author(s):  
Agus Setiyadi ◽  
Enie Novieastari ◽  
Dewi Gayatri
Keyword(s):  
User Acceptance ◽  
Acceptance Testing ◽  
Electronic Pressure ◽  
Pressure Injury ◽  
Hospital Acquired

scholarly journals Hospital acquired pressure injury prediction in surgical critical care patients

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jenny Alderden ◽  
Kathryn P. Drake ◽  
Andrew Wilson ◽  
Jonathan Dimas ◽  
Mollie R. Cummins ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Model Performance ◽  
Routine Care ◽  
Predictor Variables ◽  
Classification Algorithms ◽  
Data Set ◽  
Icu Patients ◽  
Pressure Injury ◽  
Surgical Icu ◽  
Hospital Acquired

Abstract Background Hospital-acquired pressure injuries (HAPrIs) are areas of damage to the skin occurring among 5–10% of surgical intensive care unit (ICU) patients. HAPrIs are mostly preventable; however, prevention may require measures not feasible for every patient because of the cost or intensity of nursing care. Therefore, recommended standards of practice include HAPrI risk assessment at routine intervals. However, no HAPrI risk-prediction tools demonstrate adequate predictive validity in the ICU population. The purpose of the current study was to develop and compare models predicting HAPrIs among surgical ICU patients using electronic health record (EHR) data. Methods In this retrospective cohort study, we obtained data for patients admitted to the surgical ICU or cardiovascular surgical ICU between 2014 and 2018 via query of our institution's EHR. We developed predictive models utilizing three sets of variables: (1) variables obtained during routine care + the Braden Scale (a pressure-injury risk-assessment scale); (2) routine care only; and (3) a parsimonious set of five routine-care variables chosen based on availability from an EHR and data warehouse perspective. Aiming to select the best model for predicting HAPrIs, we split each data set into standard 80:20 train:test sets and applied five classification algorithms. We performed this process on each of the three data sets, evaluating model performance based on continuous performance on the receiver operating characteristic curve and the F1 score. Results Among 5,101 patients included in analysis, 333 (6.5%) developed a HAPrI. F1 scores of the five classification algorithms proved to be a valuable evaluation metric for model performance considering the class imbalance. Models developed with the parsimonious data set had comparable F1 scores to those developed with the larger set of predictor variables. Conclusions Results from this study show the feasibility of using EHR data for accurately predicting HAPrIs and that good performance can be found with a small group of easily accessible predictor variables. Future study is needed to test the models in an external sample.

User Acceptance Testing

Testing It ◽  
2011 ◽  
pp. 77-83
Author(s):  
John Watkins ◽  
Simon Mills
Keyword(s):  
User Acceptance ◽  
Acceptance Testing

Disaster victim investigation recommendations from two simulated mass disaster scenarios utilized for user acceptance testing CODIS 6.0

2011 ◽  
Vol 5 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Laurie Bradford ◽  
Jennifer Heal ◽  
Jeff Anderson ◽  
Nichole Faragher ◽  
Kristin Duval ◽  
...  
Keyword(s):  
User Acceptance ◽  
Acceptance Testing ◽  
Mass Disaster ◽  
Disaster Victim

scholarly journals Implementing Hospital-Acquired Pressure Injury (HAPI) Prevention Program

2020 ◽  
pp. 1-51
Author(s):  
Marisa Raynaldo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Acute Care ◽  
Injury Severity ◽  
Evidence Based ◽  
Care Hospital ◽  
Preventive Program ◽  
Moisture Management ◽  
Pressure Injury ◽  
Hospital Acquired

Practice Problem: Hospital-Acquired Pressure Injury (HAPI) is a serious problem in patient care and has deleterious implications for the patient and the healthcare system. A 530-bed acute care hospital in the Rio Grande Valley identified a similar challenge and implemented a HAPI preventive program. PICOT: This evidence-based practice (EBP) project was guided by the following PICOT question: In the Intensive Care Unit/Medical Intensive Care Unit (ICU/MICU) patients aged 18 and older, does a pressure preventive bundle, compared to routine pressure injury care, reduce the incidence of pressure injury, within 21 days? Evidence: The reviewed literature supported evidence of effective use of a pressure injury preventive bundle in reducing the incidence of pressure injuries in an acute care setting. Seven articles met the inclusion criteria and were used for this literature review. Intervention: The evidence-based pressure injury preventive bundle are interventions that included consistent skin risk assessment and the application of a group of clinical practice guidelines composing of moisture management, optimizing nutrition and hydration and minimizing pressure, shear, and friction that were proven to prevent the occurrence of pressure injuries. Outcome: Post-implementation findings showed that there was no reduction in the incidence of HAPI but significant decrease in the severity of the pressure injury from Stage two to Stage one. Conclusion: The staff education, training, and implementation of an evidence-based bundle intervention to prevent the incidence of HAPI proved a positive outcome on reducing the pressure injury severity from Stage Two pressure injuries to Stage One pressure injuries.

Subsequent Pressure Injury Development in Mechanically Ventilated Critical Care Patients with Hospital-Acquired Pressure Injury

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jenny Alderden ◽  
Allen Cadavero ◽  
Yunchuan “Lucy” Zhao ◽  
Desiree Dougherty ◽  
Se-Hee Jung ◽  
...  
Keyword(s):  
Critical Care ◽  
Mechanically Ventilated ◽  
Pressure Injury ◽  
Hospital Acquired ◽  
Critical Care Patients

PENGEMBANGAN SISTEM INFORMASI PENERIMAAN SISWA BARU DAN ALUMNI PADA SEKOLAH MENENGAH KEJURUAN (STUDI PADA SMK NU GONDANGLEGI KABUPATEN MALANG)

2021 ◽  
Vol 5 (1) ◽  
pp. 79-85
Author(s):  
Fifin Wahyu Yekti Mumpuni ◽  
Taufik Rahman ◽  
Achmad Darojat
Keyword(s):  
User Acceptance ◽  
Acceptance Testing

Sekolah sebagai instansi pendidikan formal yang merupakan tempat untuk mencari ilmu, dalam kegiatan belajar mengajar. Sistem pendidikan nasional di Indonesia juga diatur dalam Undang-Undang Nomor 20, yang menyatakan bahwa pendidikan dasar merupakan prasyarat dasar untuk jenjang pendidikan yang lebih tinggi. SMK NU merupakan sekolah menengah kejuruan yang berada di Kecamatan Gondanglegi Kabupaten Malang. Namun terdapat beberapa masalah seperti penyebarluasan tentang informasi yang dilakukan secara konvensional, proses pendaftaran dan seleksi murid yang masih dilakukan secara manual, proses evaluasi murid yang lama untuk melihat seluruh nilai mata pelajaran, serta pendataan alumni juga sulit dilakukan. Maka dari itu diperlukannya suatu sistem informasi yang dapat membantu menangani masalah tersebut. Proses pendaftaran dan seleksi murid, serta pengisian nilai dapat dipermudah dengan menggunakan sistem informasi pada penelitian ini yang dibangun dengan metode agile dan diimplementasikan pada website, berdasarkan hasil pengujian User Acceptance Testing yang diberikan kepada pihak orang tua calon murid selaku pendaftar (nilai persentase UAT sebesar 85%), dan pihak guru selaku penyeleksi calon murid (nilai persentase UAT sebesar 80%), serta pihak guru selaku penilai murid (nilai persentase UAT sebesar 90%).

Nursing Care Guidelines for Reducing Hospital-Acquired Nasogastric Tube–Related Pressure Injuries

2019 ◽  
Vol 39 (6) ◽  
pp. 54-63
Author(s):  
Jessica Schroeder ◽  
Verna Sitzer
Keyword(s):  
Incidence Rate ◽  
Nasogastric Tube ◽  
Nasogastric Tubes ◽  
Tube Position ◽  
Metropolitan Hospital ◽  
Pressure Injury ◽  
Care Guidelines ◽  
Evidence Based Guidelines ◽  
Hospital Acquired ◽  
And Control

Background Nurses certified in wound, ostomy, and continence monitored an increasing incidence of hospital-acquired pressure injury of the nares due to medical devices, specifically nasogastric tubes, in a metropolitan hospital. A majority of these pressure injuries occurred in patients in the intensive care unit. The organization lacked formal guidelines for preventing such injuries. Objective To decrease the incidence of nasogastric tube–related hospital-acquired pressure injury. Methods The organization’s process improvement model, comprising steps to define, measure, analyze, improve, and control, guided the project. The incidence rate of nasogastric tube–related hospital-acquired pressure injury before the intervention was determined for calendar year 2015 and compared with data obtained after the intervention, for calendar year 2016. An interprofessional team created, implemented, and evaluated the effectiveness of evidence-based guidelines and surveillance strategies for preventing nasogastric tube–related hospital-acquired pressure injury. The team implemented guidelines using the simple mnemonic “CLEAN”: correct tube position, stabilize tube, evaluate area under/near tube, alleviate pressure, note date and time. Results The incidence rate of nasogastric tube–related hospital-acquired pressure injury (0.13 per 1000 patient days in 2015) decreased 100% (0.0 per 1000 patient days in 2016) after the guidelines were implemented in the organization. This rate was sustained for a full year, after which it increased slightly because temporary and new staff lacked knowledge of the guidelines. Conclusions The creation and implementation of clear and specific guidelines for assessing and securing nasogastric tubes successfully reduced nasogastric tube–related hospital-acquired pressure injury.

Incidence of hospital‐acquired pressure injury: A cohort study of adults admitted to public and private hospitals in Sao Paulo, Brazil

2020 ◽  
Author(s):  
Leticia Faria Serpa ◽  
Margarita Maria Ortiz ◽  
Anne Chaves Lima ◽  
Línea Bueno ◽  
Paula Cristina Nogueira ◽  
...  
Keyword(s):  
Cohort Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Private Hospitals ◽  
Public And Private ◽  
Pressure Injury ◽  
Public And Private Hospitals ◽  
Hospital Acquired
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