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:	1 January 2019
End Date:
Reports:	Critical Care Program Quality Indicator Report, WRHA ICU Hospital-Acquired Conditions

• Cargo

• SMW:

• Categories

• Default form:

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.

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 Length of Stay (ICU Report)

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 Length of Stay (ICU Report)

Data Sources

• Starting 2019, Pressure Ulcer is part of the ICD10 collection with code L89.0 to L89.9 under the Acquired Diagnosis / Complication.

1. Decubitus (pressure) ulcer, Stage II (to fascia, just under skin)
2. Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle)
3. Decubitus (pressure) ulcer, Stage IV (involves bone)
4. Decubitus (pressure) ulcer, stage not indicated

• 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 Pressure Ulcer is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas

Report Users

• 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\logphi.sas and (datetimes.sas or datetime_short.sas )

Related articles

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User:JMojica (← links)