Pressure Ulcer Prevention
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Quality Indicators for Pressure Ulcer Prevention and Management for Vulnerable Older Persons
Barbara M. Bates-Jensen, 2001, in Annals of Internal Medicine, 135(8) Part 2: 744-751.
- This paper presents a set of 11 quality indicators for the prevention and care of pressure ulcers (PU) among vulnerable elders and the evidence supporting these indicators.
Quality indicators were proposed based on an extensive literature review and were assessed for validity by a 12-member panel of clinical experts. Each panelist rated each indicator for validity twice then met to discuss each indicator and the evidence and opinions supporting its validity as a measure of quality. Indicators that received a median rating in the highest tertile without panel disagreement were accepted as valid.
Ten quality indicators were judged valid by the expert panel and one additional indicator was created by the panel. These indicators, the author notes, "set a standard that, if not met, almost certainly identifies poor quality care." The quality indicators presented in this paper provide a baseline for measures that may discriminate between quality and substandard PU care in nursing homes.
Click here to view the quality indicators.
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