Pressure ulcer and wounds reporting in NHS hospitals in England part 1: Audit of monitoring systems

Abstract

The PUWA identified 189 (8.4%) patients with an existing/healed PU compared to 135 (6.0%) on IRS. IRS had an unweighted sensitivity of 53.4% (95%CI 46.3%-60.4%) and unweighted specificity of 98.3% (95%CI 97.7%-98.8%). 83 patients had one or more potentially serious PU on PUWA and 8 (9.6%) of these patients were reported on STEIS. The results identified high levels of under-reporting for all systems and highlighted data capture challenges, including the use of clinical staff to inform national monitoring systems and the completeness of clinical records for PUs.

Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators

“…12,38,39 In routine data collection and monitoring systems, underreporting of PU incidence is very common across many health care settings. 39,40 In addition, there are debates whether differences in PU incidence are actually related to PU prevention performance differences of institutions or services.…”

“…PU diagnosis and classification in routine care is prone to error, and the internal and external validity of obtained estimates depend on the measurement methods (eg routine data collection vs audits, data extraction from medical records vs systematic skin inspection, including vs excluding certain PU categories) . In routine data collection and monitoring systems, underreporting of PU incidence is very common across many health care settings . In addition, there are debates whether differences in PU incidence are actually related to PU prevention performance differences of institutions or services.…”

Clinical evaluation of a new pressure ulcer risk assessment instrument, the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T)

“…PUs remain a considerable patient safety issue worldwide with prevalence in acute care settings being 11.9-15.8% and incidence being 2.8-9.0% (Briggs et al, 2013;Pieper, 2012;Smith, Nixon, Brown, Wilson, & Coleman, 2016). PUs cause undue burden on patients quality of life (Gorecki et al, 2009;Gorecki, Nixon, Madill, Firth, & Brown, 2012) and have a significant financial impact to healthcare organizations (Bennett, Dealey, & Posnett, 2004;Berlowitz et al, 2011;Dealey, Posnett, & Walker, 2012;Schuurman et al, 2009;Severens, Habraken, Duivenvoorden, & Frederiks, 2002).…”

Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review

“…1 Hospital-acquired PU is one of the top adverse events reported in hospitals, 2 a common cause for medical complications including infection, prolonged hospitalisation and permanent disabilities. 3 This results in pain, decreased quality of life, and a heavy illness burden on the individual, national, and global levels. 4 Patients at risk of PU include the elderly, especially those with impaired mobility and skin integrity.…”