Pressure ulcers

Quality and Outcomes Reports - Critical Care

Why we measure it - While any hospitalized child is at risk of getting a pressure ulcer (bed sore), children who are critically ill are at a higher risk. This is because of how sick the patients are and the kinds of treatments they need. By studying when and why these ulcers occur, we can reduce many of these risks.

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What this means - The two lines represent the two groups of pressure ulcers reported from August 2011 through July 2012. The graphs shows the number of reported new pressure ulcers (Stage 1 through Stage 4 based on national guidelines, where Stage 4 is the most severe) for every 1,000 days in the Pediatric Intensive Care Unit.

About the data - Stage 1 or 2 pressure ulcers are more mild and are watched very carefully to prevent more serious injury. Stage 3 or 4 pressure ulcers are more serious skin injury. Unfortunately, there is no solid comparison group with which to compare our data. Prevention and early identification of potential pressure ulcers is an important part of providing quality care. It excludes patients who have pressure ulcers when they are admitted to the hospital. The increased rate of Stage 1 and 2 pressure ulcers shows we are catching them earlier and preventing the more severe Stage 3 and 4 ulcers. During this time period, we had no deep tissue injury. Confirmations done by the Skin Integrity Work Group.


Related dimensions of care:

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How we provide the best care

  • Doctors and other staff at Children's Hospital of Wisconsin led a national effort with other hospitals to do a risk assessment and identify pressure ulcers as a high risk and preventable health care issue. This study identified the best treatments to reduce pressure ulcers. Using the results of this work, the team at Children's Hospital of Wisconsin developed an evidence-based pressure ulcer prevention bundle that significantly decreased pressure ulcers in the Pediatric Intensive Care Unit.
  • The interdisciplinary pressure ulcer prevention team focuses on prevention, categorization and treatment in the PICU.