Pressure ulcer and wounds reporting in NHS hospitals in England part 1: Audit of monitoring systems

Journal of Tissue Viability
Isabelle L SmithSusanne Coleman

Abstract

Internationally, health-care systems have attempted to assess the scale of and demonstrate improvement in patient harms. Pressure ulcer (PU) monitoring systems have been introduced across NHS in-patient facilities in England, including the Safety Thermometer (STh) (prevalence), Incident Reporting Systems (IRS) and the Strategic Executive Information System (STEIS) for serious incidents. This is the first of two related papers considering PU monitoring systems across NHS in-patient facilities in England and focusses on a Wound Audit (PUWA) to assess the accuracy of these systems. Part 2 of this work and recommendations are reported pp *-*. The PUWA was undertaken in line with 'gold-standard' PU prevalence methods in a stratified random sample of NHS Trusts; 24/34 (72.7%) invited NHS Trusts participated, from which 121 randomly selected wards and 2239 patients agreed to participate. The PUWA identified 160 (7.1%) patients with an existing PU, compared to 105 (4.7%) on STh. STh had a weighted sensitivity of 48.2% (95%CI 35.4%-56.7%) and weighted specificity of 99.0% (95%CI 98.99%-99.01%). The PUWA identified 189 (8.4%) patients with an existing/healed PU compared to 135 (6.0%) on IRS. IRS had an unweighted sensitivity of 53.4% (95...Continue Reading

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Citations

Jan 18, 2016·Journal of Tissue Viability·Susanne ColemanSarah Brown
Oct 11, 2016·Journal of Tissue Viability·Pedro Miguel Garcez SardoElsa Maria Oliveira Pinheiro de Melo
Nov 8, 2016·Journal of Tissue Viability·M ScharioJ Kottner
Nov 28, 2017·International Wound Journal·Jan KottnerAndreas Büscher
Dec 16, 2017·International Wound Journal·H-S Jocelyn ChewShefaly Shorey
Dec 7, 2018·British Journal of Community Nursing·Joanna Blackburn, Karen Ousey
Dec 16, 2016·Journal of Wound Care·Ray SamuriwoAndrew Carson-Stevens
Mar 2, 2019·Applied Health Economics and Health Policy·C MarshallMichelle Jenks
Mar 18, 2021·Journal of Wound Care·Louisa MusaGlenn Smith
Nov 26, 2018·Journal of the American Medical Directors Association·Luis Furuya-KanamoriLukman Thalib
Nov 11, 2019·International Journal of Nursing Studies·Lisa LedgerLisette Schoonhoven

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