ICU Acquired Ulcer Rate: Difference between revisions

(39 intermediate revisions by 3 users not shown)

Line 1:

{{Reporting Indicators

| description = Number of ICU acquired pressure ulcers per 1000 ICU patient days

|description=Number of ICU acquired pressure ulcers per 1000 ICU patient days

~~| indicator_name = {{PAGENAME}}~~

|created_raw=Created

| created_raw = Created

|Program=Critical Care

| ~~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_start_date~~ =

|indicator_name={{PAGENAME}}

| ~~indicator_end_date~~ =

|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]]

Line 15:

==Sampling Plan / Procedure==

100 % of all patients will be monitored for acquired Pressure Decubitus Ulcer.

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

Line 21:

Line 22:

None

===Frequency===

* ~~Recorded~~ once per ~~patient~~ regardless of the stage(s) of the decubitus ulcer.

* 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 [[~~Length of Stay (ICU Report)~~]]

* 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==

Line 29:

Line 31:

Number of new ICU pressure ulcers acquired cases

===Denominator===

Total ICU_LOS in [[~~Length of Stay (ICU Report)~~]]

Total ICU_LOS in [[LOS Per Service]]

==Data Sources==

* ~~The SAS program~~ to ~~get~~ the ~~CAUTI code is X~~:~~\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas~~

*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 ~~CAUTI code~~ is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas

* 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==

~~{{discuss | who=Julie | question= What are the details? }}~~

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

== Related articles ==

[[Category:Decubitus ulcer | * ]]

@@ Line 1: / Line 1: @@
 {{Reporting Indicators
-| description = Number of ICU acquired pressure ulcers per 1000 ICU patient days
+|description=Number of ICU acquired pressure ulcers per 1000 ICU patient days
-| indicator_name = {{PAGENAME}}
+|created_raw=Created
-| created_raw = Created
+|Program=Critical Care
-| 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_start_date =
+|indicator_name={{PAGENAME}}
-| indicator_end_date =
+|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]]
@@ Line 15: / Line 15: @@
 ==Sampling Plan / Procedure==
-% of all patients will be monitored for  acquired Pressure Decubitus Ulcer.
+% 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
@@ Line 21: / Line 22: @@
 None
 ===Frequency===
-* Recorded once  per patient  regardless of the stage(s) of the decubitus ulcer.
+* 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 [[Length of Stay (ICU Report)]]
+* 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==
@@ Line 29: / Line 31: @@
 Number of new ICU pressure ulcers  acquired cases
 ===Denominator===
-Total ICU_LOS  in [[Length of Stay (ICU Report)]]
+Total ICU_LOS  in [[LOS Per Service]]
 ==Data Sources==
-* The SAS program to get the CAUTI code is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
+*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 CAUTI code is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
+* 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==
-{{discuss | who=Julie | question= What are the details? }}
+Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
 == Related articles ==
 {{Related Articles}}
+[[Category:Decubitus ulcer | * ]]