|Healthcare Acquired Pressure Ulcers (HAPU)||17292||ML010||12/1/2009 7:00:00 AM||Care Management||United States of America||Maryland Office of Healthcare Quality (USA)||"The Clinical Alert describes the impact of Healthcare Acquired Pressure Ulcers (HAPU) on patients and their care. The Office of Health Care Quality (OHCQ) believes that the number of Level 1 HAPU reportable events (any Stage III or IV pressure ulcer or deep tissue injury acquired in a hospital setting) are under reported in Maryland. The alert summarizes the experience of one Maryland teaching hospital that closely monitored their HAPU and began reporting their findings to the OHCQ. A summary of patient characteristics, root causes, and corrective actions is provided. "||5/11/2020 2:12:19 AM||Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility Plaie de pression de gravité 3 ou 4 survenant après l'admission Événements liés à la gestion des soins ||https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Lists/Alerts/AllItems.aspx||False||Healthcare Associated Infections;Patient Safety Incident|
|Hospital-Acquired Pressure Ulcers Remain a Top Concern for Hospitals||17576||3467||3/1/2015 7:00:00 AM||Care Management||United States of America||Pennsylvania Patient Safety Authority (USA)||This alert discusses the continuing challenge of preventing hospital-acquired pressure ulcers and provides evidence-based recommendations for improved quality of care.
Pennsylvania hospitals reported more than 19,000 pressure ulcer events to the Pennsylvania Patient Safety Authority in 2013. Hospital-acquired pressure ulcers (HAPUs) are a recognized patient safety concern and meet the definition of a reportable event under the Pennsylvania Medical Care Availability and Reduction of Error Act. Despite changes to the Centers for Medicare and Medicaid Services’ inpatient prospective payment system in 2008 that established regulatory and financial incentives for hospitals to prevent HAPUs, they remain a frequently reported hospital-acquired condition.
In 2013, Pennsylvania healthcare facilities reported 33,545 events involving impaired skin integrity to the Pennsylvania Patient Safety Authority through its Pennsylvania Patient Safety Reporting System (PA-PSRS). This represents the fifth most frequently reported patient safety event type. The majority of impaired skin integrity events (n = 19,009, 56.7%) were hospital-reported pressure ulcers.
An analysis of pressure ulcers reported through the Pennsylvania Patient Safety Reporting System from 2007 through 2013 suggests the need for improvement in identification of pressure ulcers present on admission; accurate staging of pressure ulcers; and prevention of HAPUs, in particular stage III, suspected deep-tissue injury, and unstageable pressure ulcers. Patient safety and quality agencies, as well as wound care specialty organizations, have established evidence-based best practices in pressure ulcer risk assessment and prevention. This alert provides a list of resources offering best practice recommendations. ||5/11/2020 2:18:06 AM||escarre de décubitus, plaie de lit, dressage, blessure des tissus profonds, impossibles à dresser, soins des plaies, inspection de la peau, évaluation des risques, acquis dans la ||https://www.patientsafetyinstitute.ca/en/NewsAlerts/Alerts/Lists/Alerts/AllItems.aspx||False||General Patient Safety;Patient Safety Incident|