Q17 in Community or Outpatient Survey MPS or RAC Survey QARS Question number: 12721 Q18 WHERE do you understand the pressure injury or injuries developed? Notes & Instructions This is a matrix type question. Select one of answer options for WHERE the pressure injury developed for up to four of the person’s most severe pressure injuries. This question is constructed to gather information on the point of development of up to the four most severe pressure injuries for the person. In some cases organisations may elect to gather information WHERE a patient or client has more than four pressure injuries. The comments section of this question may be used to record the point of development of additional pressure injuries. If data is being collected for more than 4 injuries record as PI E, PI F, PI G etc. Rationale and Analysis This question enables categorisation of the pressure injury into hospital acquired for the state-wide data collection.
Surveys Q19 in Community or Outpatient Survey Notes & Instructions This is a matrix type question. Select one of the pressure injury documentation answer options for up to four of the person’s most severe pressure injuries. A pressure injury should have each box in the row checked or ticked if it is documented correctly and notified in IIMS. This question is constructed to gather information on the documentation of up to the four most severe pressure injuries for the person. In some cases organisations may elect to gather information WHERE a patient or client has more than four pressure injuries. The comments section of this question may be used to record the documentation of additional pressure injuries. If data is being collected for more than 4 injuries record as PI E, PI F, PI G etc. Rationale and Analysis This provides additional context on the documentation of pressure injuries noted in the skin inspection on the day of the survey. Acute, MPS or RAC and Community or QARS Question number: 11549 Q21 Please provide a brief description of pressure injury
14.b. % of patients with pressure relieving equipment insitu. Count of values in [ReferenceID] WHERE [10379] = ‘Yes’ AND WHERE [11539] = ‘At risk of pressure injury’ AND WHERE [11997] IN ‘Reactive (constant low pressure) non – powered high density foam or memory foam mattress’ ‘Reactive (constant low pressure) non-powered gel mattress’ ‘Reactive (constant low pressure) non-powered air mattress’ ‘Reactive (constant low pressure) non-powered combination mattress’ ‘Reactive (constant low pressure) powered low air loss mattress’ ‘Reactive (constant low pressure) powered other reactive mattress’ ‘Active powered alternating air overlay’ ‘Active powered alternating air mattress replacement’ ‘Equipment ordered’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx Count of values in [ReferenceID] WHERE [10379] = ‘Yes’ AND WHERE [11539] = ‘At risk of pressure injury’ AND WHERE [11997] IN ‘Reactive (constant low pressure) non – powered high density foam or memory foam mattress’ ‘Reactive (constant low pressure) non-powered gel mattress’ ‘Reactive (constant low pressure) non-powered air mattress’ ‘Reactive (constant low pressure) non-powered combination mattress’ ‘Reactive (constant low pressure) powered low air loss mattress’ ‘Reactive (constant low pressure) powered other reactive mattress’ ‘Active powered alternating air overlay’ ‘Active powered alternating air mattress replacement’ ‘Equipment ordered’ ‘Basic hospital mattress or standard foam’ ‘Other’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx See above Indicator Ref # 14.a. / Indicator Ref # 14.b. The following responses are excluded from the denominator Patient refused equipment Not applicable
15.a. Total number of patients with a wound management record or chart documenting every current PI. Count of values in [ReferenceID] WHERE [11533] = ‘Yes’ AND WHERE [11554] = ‘Documentation on the wound management record or chart if greater than stage 1, or on the skin inspection record, chart, care plan or wound chart if stage 1’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx [11554] Documentation in the healthcare record for the pressure injury includes: This is a matrix style question and will require the filter being applied across 4 columns of data [Matrix1: Pressure injury A]- [Matrix4: Pressure injury D]. 15.b. % of patients with a wound management record or chart documenting every current PI. Count of values in [ReferenceID] WHERE [11533] = ‘Yes’ AND WHERE [11554] = ‘Documentation on the wound management record or chart if greater than stage 1, or on the skin inspection record, chart, care plan or wound chart if stage 1’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx Count of values in [ReferenceID] WHERE [11533] = ‘Yes’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx See above Indicator Ref # 15.a. / Indicator Ref # 5.a. 16.a. Total number of patients with a device related injury. Count of values in [ReferenceID] WHERE [11533] = ‘Yes’ AND WHERE [11552] = ‘A device related injury’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx [11552] Is the pressure injury or injuries? This is a matrix style question and will require the filter being applied across 4 columns of data [Matrix1: Pressure injury A]- [Matrix4: Pressure injury D].
18. Classification of PI - hospital acquired. Count of values in [12666] WHERE [10390] = ‘In this health facility or service during current episode of care’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx BY matrix value of [12666] [12666] What classification was the pressure injury or injuries (Record up to the four most severe pressure injuries for the person)? This is a matrix style question and will require the filter being applied across 4 columns of data [Matrix1: Pressure injury A]- [Matrix4: Pressure injury D]. Tip: Probably the easiest way to calculate this is by counting the values in a cross tab table for each matrix level then sum the counts for each response value. Records without a PI classification value should be excluded from the report. 19. Classification of PI - NOT hospital/health service acquired Count of values in [12666] WHERE [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx BY matrix value of [12666] See above Records without a PI classification value should be excluded from the report. 20. Location of PI – hospital acquired Count of values in [12666] WHERE [10390] = ‘In this health facility or service during current episode of care’ AND [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx BY matrix value of [12666] AND [11542] [11542] What was location of the pressure injury or injuries (Record up to the four most severe pressure injuries for the person)? This is a matrix style question and will require the filter being applied across 4 columns of data [Matrix1: Pressure injury A]- [Matrix4: Pressure injury D]. Records with a PI classification value that do not have a location value should be aggregated into the ‘Other’ location. 21. Location of PI - NOT hospital/health service acquired Count of values in [12666] WHERE [AuditDate] >= 01/01/xxxx and <= 31/12/xxxx BY matrix value of [12666] AND [11542] See above Records with a PI classification value that do not have a location value should be aggregated into the ‘Other’ location.