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 |
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.
- 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 bone)
- 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 CAUTI code is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
Report Users
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