Pressure ulcer and wounds reporting in NHS hospitals in England part 2: Survey of monitoring systems
- PMID: 26774821
- DOI: 10.1016/j.jtv.2015.11.002
Pressure ulcer and wounds reporting in NHS hospitals in England part 2: Survey of monitoring systems
Abstract
This is the second of a two related papers describing work undertaken to compare and contrast Pressure Ulcer (PU) monitoring systems across NHS in-patient facilities in England. The work comprised 1) a PU/Wound Audit (PUWA) and 2) a survey of PU monitoring systems. This second paper focusses on the survey which explores differences in the implementation of PU adverse event monitoring systems in 24 NHS hospital Trusts in England. The survey questionnaire comprised 41 items incorporating single and multiple response options and free-text items and was completed by the PUWA Trust lead in liaison with key people in the organisation. All 24 (100%) Trusts returned the questionnaire, with high levels of data completeness (99.1%). The questionnaire results showed variation between Trusts in relation to the recording of PUs and their reporting as part of NHS prevalence and incident monitoring systems and to Trust boards and healthcare commissioners including the inclusion (or not) of device ulcers, unstageable ulcers, Deep Tissue Injury, combined PUs/Incontinence Associated Dermatitis, category ≥ 1 ulcers or category ≥ 2 ulcers, inherited ulcers, acquired ulcers, avoidable and unavoidable ulcers and the definition of Present On Admission. These fundamental differences in reporting preclude Trust to Trust comparisons of PU prevalence and incident reporting and monitoring systems due to variation in local application and data collection methods. The results of this work and the PUWA led to the development of recommendations for PU monitoring practice, many of which are internationally relevant.
Keywords: Adverse events; Harm; Improvement; Incident reporting; Patient safety; Pressure ulcer.
Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
Comment in
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Editorial.J Tissue Viability. 2016 Feb;25(1):1-2. doi: 10.1016/j.jtv.2016.01.002. J Tissue Viability. 2016. PMID: 26899522 No abstract available.
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Measurement and reporting of pressure ulcer related harm in NHS Hospitals in England.J Tissue Viability. 2017 Nov;26(4):225. doi: 10.1016/j.jtv.2017.10.002. Epub 2017 Oct 9. J Tissue Viability. 2017. PMID: 29033143 No abstract available.
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