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Pressure ulcer incidence reporting.

Maureen Benbow1

  • 1Mid-Cheshire Hospital Trust, Crewe, Cheshire. maureen.benbow@btinternet.com

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|May 11, 2004
PubMed
Summary

A study found that hospital staff significantly under-reported patients with pressure ulcers, despite adequate assessment skills. This under-reporting challenges the accuracy of current pressure ulcer incidence monitoring systems.

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety Research
  • Nursing Informatics

Background:

  • A hospital trust has utilized a pressure ulcer incidence monitoring system since 1991.
  • The system aims to inform resource allocation for specialist mattresses, audit guideline compliance, and identify staff training needs.

Purpose of the Study:

  • To evaluate the accuracy of data collected by the existing pressure ulcer incidence monitoring system.
  • To compare researcher-assessed data with data reported by ward staff.

Main Methods:

  • A 14-day observational study involving 211 inpatients across medical, surgical, rehabilitation, and orthopaedic wards.
  • Researcher assessments were compared with routine ward staff assessments and data collection.

Main Results:

  • A significant discrepancy was found, with 57% of patients at risk or with pressure ulcers not being reported by ward staff.
  • Of the unreported cases, 14% had existing pressure sores and were receiving care on specialist mattresses.
  • Under-reporting was prevalent across all studied wards.

Conclusions:

  • While the data collection form is user-friendly and nursing staff possess adequate assessment skills, the high rate of under-reporting compromises data accuracy.
  • The current system may be inadequate for reliably generating accurate pressure ulcer incidence data.

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