Quality of Care

Bates‐Jensen, Barbara M.; Cheng, Janet

doi:10.1007/978-1-62703-700-6_11

Cited by 2 publications

(1 citation statement)

References 63 publications

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“…In other countries, annual PI prevention programmes adopted in the hospital settings as part of quality improvement interventions were found to be effective in reducing PI incidence and were cost‐effective . However, accurate measurement is essential to ensure the effectiveness and cost‐effectiveness of such programmes . Uniform modules on risk assessment and clinical measurement included in these programmes have the potential to improve health professionals’ skills on PI identification, measurement, coding, and reporting and ensure accurate coding of PI rates.…”

Section: Coding‐related Challengesmentioning

confidence: 99%

Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Weller

Gershenzon

Evans

et al. 2017

International Wound Journal

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Pressure injury (PI) rates are a commonly used indicator of performance of health care facilities, both in acute and subacute settings. However, measuring PI rates in an accurate and reproducible fashion has been challenging. The consequences of poor measurement may include failure to identify poorly performing institutions or incorrect accusations of poor quality care. In this article, we describe the main challenges in identification, coding, and reporting of PIs. Issues include inconsistent identification of PIs at the time of admission, variations in the intensity of PI detection, and differing approaches to coding and the adjustment for differing risks amongst different patient population. These are compounded by differences in the epidemiological approach because rates will differ according to whether patients are surveyed cross-sectionally (eg, on a set day per month) or if the survey is undertaken at discharge. In some cases, financial incentives may also influence PI reporting. We also discuss potential strategies for improving data collection and benchmarking as an aid to reducing PI prevalence.

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Section: Coding‐related Challengesmentioning

confidence: 99%

Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Weller

Gershenzon

Evans

et al. 2017

International Wound Journal

View full text Add to dashboard Cite

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Pressure Injury

2020

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Background: Pressure injury is seen across all healthcare settings and affects people of any age and health condition. It imposes a significant burden, with annual costs of up to $17.8 billion in the United States alone. Despite considerable resources it exhausts, the disease remains very prevalent, and the incidence is on the rise. This is in part due to aging population, growing number of nursing home residents, poorly understood biology, and dismal track record of clinical research in this field. Methods: In our Review Article, we discuss the disease pathophysiology, clinical manifestation, evidence based recommendations for risk assessment, prevention and timely management, existing challenges, and directions to improve research on the field. This article encompasses dedicated sections on the full spectrum of the pressure related pathologies including “conventional pressure ulcers”, “medical device related pressure injuries”, “pressure injuries in mucosal membranes”, “pressure injuries in pediatric population”, “pressure injury at end of life”, and the “role of pressure in pathogenesis of diabetic foot ulcers”.

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Quality of Care

Cited by 2 publications

References 63 publications

Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Pressure injury identification, measurement, coding, and reporting: Key challenges and opportunities

Pressure Injury

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