Pressure Ulcer Rate
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This indicator measures pressure ulcer rate in hospital discharges over 18 years of age
Numerator
Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any secondary ICD-10-CM diagnosis code not present on admission for stage 3 or 4 (or unstageable) pressure ulcer (PI~D* ), in the absence of a secondary ICD-10-CM diagnosis code present on admission for deep tissue injury or unstageable pressure injury (DTI~EXD* ) at the same anatomic site secondary ICD-10-CM diagnosis code not present on admission for stage 3 or 4 (or unstageable) pressure ulcer (PI~D* ), in the absence of a secondary ICD-10-CM diagnosis code present on admission for deep tissue injury or unstageable pressure injury (DTI~EXD* ) at the same anatomic site.
Denominator
Surgical or medical discharges for patients ages 18 years and older.
Exclusions
Exclude discharges: with length of stay of less than 3 days, with a principal ICD-10-CM diagnosis code for site-specific pressure ulcer stage 3 or 4 (or unstageable) or deep tissue injury at the same anatomic site ( PI~EXD *), with any ICD-10-CM diagnosis code for severe burns (≥20% body surface area) (BURNDX *), with any ICD-10-CM diagnosis code for exfoliative disorders of the skin (≥20% body surface area) (EXFOLIATXD *), with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth & the Puerperium (Appendix O: MDC14PRINDX ), with a principal ICD-10-CM diagnosis code assigned to MDC 15 Newborns & Other Neonates with Conditions Originating in Perinatal Period (Appendix O: MDC15PRINDX ) with an ungroupable DRG (DRG=999), with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year , (YEAR=missing), or principal diagnosis (DX1=missing), with missing MDC (MDC=missing) when the user indicates that MDC is provided