Analysis of adverse events of pediatric pressure ulcer based on structured method / 中国实用护理杂志

ABSTRACT

Objective:This study was summarized and analyzed the reporting data of pressure ulcer events in children for nearly 4 years. We expected this study can provide a recommendation for design of the subsequent reporting system, especially the pressure ulcer.Methods:A total of 207 children with pressure ulcers from January 2015 to September 2018 were exported from the adverse event reporting system that made a retrospective analysis based on structured method.Results:Among the 207 pressure ulcer cases, 173 (83.57%) cases were hospital acquired, 65 (31.40%) were female, 104 (50.24%) were male, and 38 (18.36%) were missing data. The factors that are prone to pressure ulcers in children are in CICU(74/173), the occipital (83/207), and with stage I(112/207). 111(64.16%)cases were delayed reporting, and the median delayed reporting time was 38(143) days. There are many missing records in the description of the event, the medical treatment, the analysis of the possible causes and other items. In univariate analysis, the setting was associated with missing records in system; the occipital and stage I pressure ulcers were associated with a delayed reporting of hospital acquired pressure ulcers.Conclusions:For the prevention of pressure ulcers in children, different high-risk populations should have corresponding strategies. The adverse event of pressure ulcers were reported to be missed and delayed that was attributed to the cumbersome process. The reporting process and system should be standardized.