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 |
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.
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\logphi.sas and (datetimes.sas or datetime_short.sas )
Report Users
Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
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