Reporting Health-Care Associated Pressure Ulcers
Report on Datix – New Category
Pressure ulcers remain a significant cause of morbidity and mortality and prevention is a key clinical quality indicator. We need to ensure that where pressure ulcers develop whilst patients are in our care, we review our practice to assure all prevention strategies were considered, and that appropriate management continues.
Whilst all grades of pressure ulcer and associated problems of managing them can be recorded on Datix regardless of the grade of the pressure ulcer – it is mandatory within GG&C to report ALL grade 3 and 4 health care associated pressure ulcers and practice reviewed to assess if the ulcer is health care acquired
. Where practice issues are identified, improvement plans must be put in place with support from a Tissue Viability Nurse.
What do I report?
In line with NHSGGC policy the following should be reported:
How do I report it?
- All grade 3 and 4 pressure ulcers developed whilst patients are receiving care from NHSGGC.
- If a patient is transferred to your care and has a grade 3 or 4 pressure ulcer ensure you, or the transferring unit/person has completed a Datix report.
- If a pressure ulcer has not been identified to you at handover, or no documentation or evidence of assessment is present, complete a Datix report.
- Problems identified with accessing equipment / dressings whilst managing any pressure ulcer (regardless of the grade of ulcer).
A new category has been added into ‘Patient Clinical’ called Pressure Ulcer Care. Select this, and then the appropriate sub-category. The date and time entered should be when the ulcer was first identified and graded. All other details relate to where it is suspected the ulcer has developed. If unsure, check with your local Tissue Viability nurse.
The reviewer will be asked additional information about assessment and management including:
- Skin inspection
This will confirm if appropriate assessments were undertaken and identify any issues in implementing the care management plan. Clinical support can be sought from the Tissue Viability Service to ensure identified issues are communicated and actioned.
Your local Tissue Viability nurse can be contacted for any queries or in relation to practice identified through review.
Acute Referral Contact 0141 201 6167
Partnerships Contact 0141 531 8335 or 07771937089