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Disclaimer

In the Downloads section, the ‘Prior Submission’ file reflects the most recent measure submission to the former CBE. This file is provided for transparency. For any questions or clarification, please contact the designated measure steward.

Pressure ulcer prevalence (hospital acquired)

CBE ID
0201
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

The total number of patients that have hospital-acquired (nosocomial) category/stage II or greater pressure ulcers on the day of the prevalence measurement episode.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level of Analysis
      1.14 Numerator

      Patients that have at least one category/stage II or greater hospital-acquired pressure ulcer on the day of the prevalence measurement episode.

      1.15 Denominator

      All patients surveyed for the measurement episode.

      Exclusions

      Excluded Populations:
      • Patients who refuse to be assessed
      • Patients who are off the unit at the time of the prevalence measurement, i.e., surgery, x-ray, physical therapy, etc.
      • Patients who are medically unstable at the time of the measurement for whom assessment would be contraindicated at the time of the measurement, i.e., unstable blood pressure, uncontrolled pain, or fracture waiting repair.
      • Patients who are actively dying and pressure ulcer prevention is no longer a treatment goal.

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Endorsement Maintenance Project 2015
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      The Joint Commission
      Steward POC email
                Public Comments