Percentage of Clients With a Pressure Ulcer

Identifying Attributes

Care Settings
Home Care
Country
Netherlands
Publishing Organisation
Quality Framework Responsible Care for the sector Nursing, Care and Homecare
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Pressure Injury

Defining Attributes

Definition

The percentage of clients with decubitus stage 2 to stage 4 which started in the organisational unit (V&V) during the care period at home (ZT).

Numerator

The number of clients with decubitus stage 4 to 4 during the week in which it is measured (started in the organisational unit/during the care period at home).

Denominator

The number of clients with whom the measurement was carried out on the day/in the week of measuring.

Exclusions

Clients who do not want to be measured for this purpose on the day or in the week that measurements are carried out. • Clients with whom it has been put down in writing in the care contract or the care (treatment) / life plan in conference with them that systematic examination for decubitus for the benefit of the Quality Framework will not take place • For Home Care: Clients who have not been indicated for the function nursing and/or personal care ( so only those clients should be measured that have been indicated for the function nursing and/or personal care).

Use of Risk Adjustment
Yes
Risk Adjustments

Case mix for relevant client characteristics (like care intensity).

Stratifications

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

Measured by the organisation itself every year with established registration questions.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Every organisational Unit provides a publication of its performance for the indicators for Responsible care via the Annual Document Social Responsibility (CIBG) and via the Quality Card at www.kiesbeter.nl (RIVM). Performance is also reported at an aggregated, anonymous level in an annual, nation-wide report from the Steering Committee.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Winters-Van Der Meer S, Kool RB, Klazinga NS, Huijsman R. Are the Dutch long-term care organizations getting better? A trend study of quality indicators between 2007 and 2009 and the patterns of regional influences on performance. Int J Qual Health Care. 2013 Oct;25(5):505-14. doi: 10.1093/intqhc/mzt061. Epub 2013 Aug 20. PMID: 23962991.

Link to Measurement Tools

CQ-index Long-term Care

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
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025