ICU Acquired Ulcer Rate: Difference between revisions

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{{Reporting Indicators
{{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  
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital  
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==Sampling Plan / Procedure==
==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.  
 
=== 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===
===Inclusion Criteria===
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None
None
===Frequency===
===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 [[LOS Per Service]]
* 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==
==Definition and Derivation==
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==Data Sources==
==Data Sources==
* Starting 2019, Pressure Ulcer is part of the ICD10 collection with codes  L89.0 to L89.9  under the Acquired Diagnosis / Complication.  
*Starting July 1, 2025:
{{ListICD10Category | categoryName =Decubitus ulcer}}
{{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=
* Before 2019, Ulcers - Decubitus only has old diagnosis code 945 and saved in table L_Dxs
*{{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==
==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 Decubitus Ulcer is {{S:\MED\MED_CCMED}}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
* The SAS program to get the LOS is {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\datetimes.sas


==Report Users==
==Report Users==
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== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
[[Category:Decubitus ulcer | * ]]

Latest revision as of 15:02, 23 October 2025

Number of ICU acquired pressure ulcers per 1000 ICU patient days

Indicators
Indicator: ICU Acquired Ulcer Rate
Created/Raw: Created
Program: Critical Care
Start Date:
End Date:
Reports: Critical Care Program Quality Indicator Report, WRHA ICU Hospital-Acquired Conditions
Data Dependencies(Reports/Indicators/Data Elements): 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)


  • Cargo


  • Helper template:
  • Cargo


  • Categories

none

  • SMW:
  • Categories
  • Default form:

Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital

QI domain

  • 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

  • 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:
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.   
  • Starting 2019 to June 2025:
Pressure Ulcer is part of the ICD10 collection with codes L89.0 to L89.9 under the Acquired Diagnosis / Complication.   
  • Before 2019, Ulcers:
Coded in 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\​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\​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:
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