Pressure Ulcer Rate

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Agency for Healthcare Research and Quality (AHRQ): Patient Safety Indicators, Centers for Medicare & Medicaid Services (CMS): Hospital Inpatient Quality Reporting Program, Veterans Health Administration (VHA)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Infection and Sepsis

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

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026