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Online ISSN 1827-1707
ADVERSE EVENTS IN SURGERY
Cavaglià M. 1, Chiesa R. 2, Reale R. 3, Tartaglia G. 2
1 S.C. di Medicina Ospedale Maggiore, Chieri
2 S.C. di Ortopedia e Traumatologia Ospedale Maggiore, Chieri
3 S.C. Direzione Sanitaria Ospedale Maggiore, Chieri
Pressure ulcers are a troublesome complication of prolonged hospitalization; however, they can be prevented. The objectives are to reduce the risk of pressure ulcers, improve the care of pre-existing ulcers, contain social and personal burdens (burden on patient and family; added costs due to prolonged stay) and the costs of hospitalization (human and material resources, drugs), improve the institution’s public image, increase staff motivation. The methodology is based on EPUAP and AHPCR guidelines. Each point is analyzed and translated into operative indications for various staff levels. Pressure ulcer prevention concerns all patients “confined to a bed or a chair or unable to shift position.” Prevention applies to patients at potential risk of developing pressure sores; all patients should be evaluated using accredited assessment scales regardless of age, type of pathology or institution. A protocol that standardizes health worker practices in line with their experience will provide an effective and appropriate response to meeting patients’ needs.