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)
QI domain
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
What are the details?
SAS Program
What are the details?
Report Users
What are the details?
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