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Abstract: Objective: To research the effects of wound care center management with the methods of improving technique procedures combined with specialty nursing training. Method: Starting from technical improvement, 5 wound care techniques contained 30 procedure processes and 15 management processes were improved and used from 2013 to 2014 (improved application stage). Out of them, 16 procedure processes and 6 management processes were re-improved and used (optimum application stage) in 2015. Nurses were trained to use these processes by role playing, shadowing of certified wound nurse specialist, complex case report and evaluation processes in order to enhance clinician's problem solving skills.Indicators: Quaterly case study and practical exams to nurses. The number of dispute and complain, incidence of adverse events and level, number of specialty nursing clinic and wound care, technique treatment, wound healing rate and satisfactory level of patients every month and comparison of the effects of between two steps. Results: No dispute and complain happened between two stages. The adverse events level were III and IV and incidence rate was 0.01%~0.02%. The number of specialty nursing clinic and wound care visits increased. The number of debridement, negative wound pressure therapy and red light therapy in optimum application stage was more than ones in improved application stage (P<0.05) and patients satisfactory level enhanced in optimum application stage (P<0.05) and healing rate between two stages was not significant (P>0.05).Conclusion: Techniques improved combined with specialty nursing training methods were helpful to manage safety and quality for wound care center and beneficial to improve nursing quality and reduce risk of wound care complications.
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http://www.zghlgl.com/EN/Y2016/V16/I7/994
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