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 in the data sources below.
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
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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\datetimes.sas
Report Users
Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
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