ICU Acquired Ulcer Rate: Difference between revisions

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

Latest revision as of 15:25, 11 January 2024

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


  • Cargo


  • 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 will be monitored for acquired Pressure Decubitus Ulcer in the data sources below.

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

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.
Decubitus ulcer codes:
  • 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

Related articles

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