Pressure Ulcer Prevention
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The Minimum Data Set Pressure Ulcer Indicator: Does it Reflect Differences in Care Processes Related to Pressure Ulcer Prevention and Treatment in Nursing Homes
Barbara M. Bates-Jensen, Mary Cadogan, Dan Osterweil, Lene Levy-Storms, Jennifer Jorge, Nahla Al-Samarrai, Valena Grbic, and John F. Schnelle, 2003, in J Am Geriatrics Society 51(9): 1203-12.
- This study showed that, despite assumptions to the contrary, nursing homes with low prevalence rates for pressure ulcers (PU) do not provide better PU care than homes with high prevalence rates. In general, all 16 nursing homes in this study performed poorly on screening and preventing PUs, though they did better at management once a PU was present.
The study examined 16 quality indicators related to PU care in two groups of nursing homes: Six homes with a high prevalence of PU and 10 with a low prevalence of PU. Prevalence of PU as reported in Minimum Data Set (MDS) resident assessments is a publicly reported quality measure for nursing homes. The assumption is that differences in prevalence rates reflect differences in quality of care. Thus, low PU prevalence homes are presumed to provide better care than high PU prevalence homes.
This study, however, found few differences between the two nursing home groups. Homes with low PU prevalence rates did not provide better care. Nursing homes with higher rates of PU, however, were more likely to use pressure-reduction surfaces and were better at documenting wound characteristics.
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