Edit Reporting Indicators: ICU Acquired Ulcer Rate

Free text: 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 == Related articles == {{Related Articles}} [[Category:Decubitus ulcer | * ]]