View source for ICU Acquired Ulcer Rate

{{Reporting Indicators
|description=Number of ICU acquired pressure ulcers per 1000 ICU patient days
|created_raw=Created
|Program=Critical Care
|DataDependencies=Admit DtTm; Dispo DtTm field; LOS; Decubitus (pressure) ulcer, stage not indicated; Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area; Decubitus (pressure) ulcer, Stage I (surface reddening), of heel; Decubitus (pressure) ulcer, Stage I (surface reddening), of other area; Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of sacral area; Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of heel; Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area; Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of sacral area; Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of heel; Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of other area; Decubitus (pressure) ulcer, Stage IV (involves bone), of sacral area; Decubitus (pressure) ulcer, Stage IV (involves bone), of heel; Decubitus (pressure) ulcer, Stage IV (involves bone), of other area; Pressure-induced deep tissue damage, of sacral area; Pressure-induced deep tissue damage, of heel; Pressure-induced deep tissue damage, of other area; Decubitus (pressure) ulcer, stage not indicated, of sacral area; Decubitus (pressure) ulcer, stage not indicated, of heel; Decubitus (pressure) ulcer, stage not indicated, of other area; Decubitus (pressure) ulcer, Stage I (surface reddening); Decubitus (pressure) ulcer, Stage II (to fascia, just under skin); Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle); Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)
|indicator_name={{PAGENAME}}
|program=Critical Care
}}
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 (or profiles) accepted in each Critical Care Service will be monitored for  acquired Pressure Decubitus Ulcer in the data sources below. 

===Inclusion Criteria===
All
===Exclusion Criteria===
None
===Frequency===
* Reported once per [[Definition of a Critical Care Program Admission | profile accepted in each Critical Care Service]] regardless of the stage(s) and location(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]]

==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 July 1, 2025: 
{{Collapsable | always=Pressure Ulcer is part of the ICD10 collection with codes showing both the stage and the location namely, sacral, heel or other area, under the Acquired Diagnosis / Complication.  | full= 
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening), of other area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of other area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves bone), of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves bone), of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves bone), of other area}}
*{{ICD10WithCode|Pressure-induced deep tissue damage, of sacral area}}
*{{ICD10WithCode|Pressure-induced deep tissue damage, of heel}}
*{{ICD10WithCode|Pressure-induced deep tissue damage, of other area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated, of sacral area}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated, of heel}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated, of other area}}
}} 
* Starting 2019 to June 2025: 
{{Collapsable | always=Pressure Ulcer is part of the ICD10 collection with codes  L89.0 to L89.9  under the Acquired Diagnosis / Complication.  | full=
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage I (surface reddening)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, Stage IV (involves muscle, tendon, or bone)}}
*{{ICD10WithCode|Decubitus (pressure) ulcer, stage not indicated}}
}}
* Before 2019, Ulcers: 
::Coded in [[:Category:Diagnosis Coding (old) | Old Diagnostic Coding Schema]] before [[Conversion from our old diagnosis schema to ICD10/CCI]] as [[Ulcers - Decubitus only]] with old diagnosis codes 945 and saved in [[L Dxs table]]

==SAS Program==
* The SAS program to get the Decubitus Ulcer is {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
* The SAS program to get the LOS is {{S:\MED\MED_CCMED}}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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