Number of ICU acquired pressure ulcers per 1000 ICU patient days
| Indicators
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| Indicator:
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ICU Acquired Ulcer Rate
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| Created/Raw:
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Created
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| Program:
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Critical Care
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| Start Date:
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| End Date:
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| Reports:
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Critical Care Program Quality Indicator Report, WRHA ICU Hospital-Acquired Conditions
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| Data Dependencies(Reports/Indicators/Data Elements):
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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)
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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
- The SAS program to get the CAUTI code is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
SAS Program
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What are the details?
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Report Users
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What are the details?
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