ICU Acquired Ulcer Rate

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.

• 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

Related articles:

User:JMojica (← links)