View source for ICU Acquired Ulcer Rate

{{Reporting Indicators
| description = Number of ICU acquired pressure ulcers per 1000 ICU patient days 
| indicator_name = {{PAGENAME}}
| created_raw = Created
| program = Critical Care
| indicator_start_date = 
| indicator_end_date = 
}}
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital 
===QI domain===
*[[QualityDomain::Safe]]
 
==Significance==
Significance: Pressure ulcers development is a hospital acquired complication that is associated with poor patient outcomes and has multiple strategies to prevent its occurrence.

==Sampling Plan / Procedure==
100 % of all patients will be monitored for  acquired Pressure Decubitus Ulcer. 

=== Diagnosis Codes ===
==== Before 2019 ====
* Decubitus Ulcer only - codes from 94500 to 94505
==== Starting Jan2019 ====
* L89.0 [[Decubitus (pressure) ulcer, Stage I (surface reddening)|Decubitus]]
* L89.1 [[Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)|Decubitus]]
* L89.2 [[Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)|Decubitus]]
* L89.3 [[Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)|Decubitus]]
* L89.9 [[Decubitus (pressure) ulcer, stage not indicated]]


===Inclusion Criteria===
All
===Exclusion Criteria===
None
===Frequency===
* Recorded once  per patient  regardless of the stage(s) of the decubitus ulcer.
* On quarterly basis based on discharge dates, tabulate the number of cases on acquired and total number of patient days or Total ICU_LOS in [[LOS Per Service]]

{{DiscussTask |
* Is it correct to include any stage (or even unknown stage) in recording the count of decubitus ulcer? --[[User:JMojica|JMojica]] 10:32, 2023 November 23 (CST) }}

==Definition and Derivation==
Number of ICU acquired pressure ulcers per 1000 ICU patient days
===Numerator===
Number of new ICU pressure ulcers  acquired cases
===Denominator===
Total ICU_LOS  in [[LOS Per Service]]

==Data Sources==
* Starting 2019, Pressure Ulcer is part of the ICD10 collection with codes  L89.0 to L89.9  under the Acquired Diagnosis / Complication. 
{{ListICD10Category | categoryName =Decubitus ulcer}}
* Before 2019, Ulcers - Decubitus only has old diagnosis code 945 and saved in table L_Dxs

==SAS Program==
* The SAS program to get the Decubitus Ulcer is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
* The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\datetimes.sas

==Report Users==
Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
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