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

Journal of Tissue Viability

Volumn 25, Issue 1, 2016, Pages 3-15

  Smith, Isabelle L ^a   Nixon, Jane ^a   Brown, Sarah ^a   Wilson, Lyn ^a,b   Coleman, Susanne ^a  

^a UNIVERSITY OF LEEDS   (United Kingdom)

^b MID YORKSHIRE HOSPITALS NHS TRUST   (United Kingdom)

Author keywords

Adverse event; Incident reporting; Patient safety; Pressure ulcer; Prevalence; Sensitivity

Indexed keywords

ACCURACY; ARTICLE; DECUBITUS; GOLD STANDARD; HEALTH CARE SYSTEM; HUMAN; INCIDENT REPORT; MEDICAL AUDIT; PATIENT MONITORING; PREVALENCE; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; UNITED KINGDOM; WOUND; CLINICAL AUDIT; ENGLAND; INJURY; NATIONAL HEALTH SERVICE; PHYSIOLOGIC MONITORING; PROCEDURES; RISK MANAGEMENT;

ENGLAND; HUMANS; MEDICAL AUDIT; MONITORING, PHYSIOLOGIC; PRESSURE ULCER; RISK MANAGEMENT; STATE MEDICINE; WOUNDS AND INJURIES;

EID: 84958753855     PISSN: 0965206X     EISSN: 18764746     Source Type: Journal    
DOI: 10.1016/j.jtv.2015.11.001     Document Type: Article

References (40)

1. K.G. Shojania, and P.J. Marang-van de Mheen Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? BMJ Qual Saf 2015 [online first]
2. R. Baines, M. Langelaan, M. de Bruijne, P. Spreeuwenberg, and C. Wagner How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time BMJ Qual Saf 24 9 2015 561 571
3. C. Vincent, and R. Amalberti Safety in healthcare is a moving target BMJ Qual Saf 2015 [online first]
4. R.J. Baines, M. Langelaan, M.C. de Bruijne, H. Asscheman, P. Spreeuwenberg, L. van de Steeg, and et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study BMJ Qual Saf 22 4 2013 290 298
5. K.G. Shojania, and E.J. Thomas Trends in adverse events over time: why are we not improving? BMJ Qual Saf 22 4 2013 273 277
6. C.P. Landrigan, G.J. Parry, C.B. Bones, A.D. Hackbarth, D.A. Goldmann, and P.J. Sharek Temporal trends in rates of patient harm resulting from medical care N Engl J Med 363 22 2010 2124 2134
7. J. Tanner, W. Padley, M. Kiernan, D. Leaper, P. Norrie, and R. Baggott A benchmark too far: findings from a national survey of surgical site infection surveillance J Hosp Infect 83 2 2013 87 91
8. NHS-England Understanding the new NHS 2014 N. E. Medical Directorate London
9. DH An organisation with a memory DH 2000 Stationary Office Norwich
10. DH, Building a safer NHS for patients: implementing an organisation with a memory, DH. London: Department of Health.
11. NPSA Seven steps to patient safety: full reference guide NPSA 2004 NPSA London
12. DH The NHS outcomes framework 2011/12 DH 2010 Department of Health London
13. DH Using the commissioning for quality and Innovation (CQUIN) payment framework for the NHS England 2008 DH, London
14. DH Delivering the NHS safety thermometer CQUIN 2012/13; a preliminary guide to delivering 'Harm Free' care Q. S. C. Team 2012 Department of Health London
15. HSCIC NHS safety thermometer: annual publication, patient harms and harm free care Engalnd. April 2012-March 2014, official statisitics H. a. S. C. I. Centre 2014 HSCIC
16. NHS-England Serious incident framework N. E. P. S. Domain, London 2015
17. Observatories, N.Q. Quality Observatories, http://www.qualityobservatory.nhs.uk/ [accessed July 2015].
18. Datix Datix: software for patient safety 2015 http://www.datix.co.uk/ [accessed 22.06.15]. Retrieved 22/06/2015
19. Ulysses Ulysses safeguard healthcare 2015 http://www.ulysses.co.uk/safeguard-healthcare/ [accessed 22.06.15]. Retrieved 22/06/2015
20. C. Dealey, T. Chambers, P. Beldon, M. Benbow, J. Fletcher, S. Fumarola, and et al. Achieving consensus in pressure ulcer reporting J Tissue Viability 21 3 2012 72 83
21. TVS Pressure ulcer prevalence monitoring and interpretation of safety thermometer data a briefing paper for commissioners and NHS trusts 2013 http://tvs.org.uk/wp-content/uploads/2013/05/TVS-PU-Prevalence-Measurement-Safety-Thermometer-Data-Interpretation1.pdf
22. S. Coleman, I.L. Smith, J. Nixon, L. Wilson, and S. Brown Pressure ulcer and wounds reporting in NHS hospitals in England part 2: survey of monitoring systems J Tissue Viability 25 1 2016 16 25
23. NPUAP/EPUAP Prevention and treatment of pressure ulcers:clinical practice guideline 2009 National Pressure Ulcer Advisory Panel Washington DC
24. X.H. Zhou, N.A. Obuchowski, and D.K. McClish Statistical methods in diagnostic medicine 2011 John Wiley & Sons, Inc Hoboken, NJ, USA
25. C.B. Begg, and R.A. Greenes Assessment of diagnostic tests when disease verification is subject to selection bias Biometrics 39 1 1983 207 215
26. M. Briggs, M. Collinson, L. Wilson, C. Rivers, E. McGinnis, C. Dealey, and et al. The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients BMC Nurs 12 1 2013 19 http://www.biomedcentral.com/1472-6955/12/19
27. M. Zegers, M.C. de Bruijne, C. Wagner, L.H. Hoonhout, R. Waaijman, M. Smits, and et al. Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study Qual Saf Health Care 18 4 2009 297 302
28. G.R. Baker, P.G. Norton, V. Flintoft, R. Blais, A. Brown, J. Cox, and et al. The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada CMAJ 170 11 2004 1678 1686
29. P. Davis, R. Lay-Yee, R. Briant, W. Ali, A. Scott, and S. Schug Adverse events in New Zealand public hospitals I: occurrence and impact N Z Med J 115 1167 2002 U271
30. C. Vincent, G. Neale, and M. Woloshynowych Adverse events in British hospitals: preliminary retrospective record review BMJ 322 7285 2001 517 519
31. E.J. Thomas, D.M. Studdert, H.R. Burstin, E.J. Orav, T. Zeena, E.J. Williams, and et al. Incidence and types of adverse events and negligent care in Utah and Colorado Med Care 38 3 2000 261 271
32. T.A. Brennan, L.L. Leape, N.M. Laird, L. Hebert, A.R. Localio, A.G. Lawthers, and et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I N Engl J Med 324 6 1991 370 376
33. J.C. Wyatt The new NHS information strategy 2012
34. J.A. Cook, and G.S. Collins The rise of big clinical databases Br J Surg 102 2 2015 E93 E101
35. DH The power of information: putting all of us in control of the health and care information we need D. o. Health 2012
36. J. Nixon, H. Thorpe, H. Barrow, A. Phillips, E. Andrea Nelson, S.A. Mason, and et al. Reliability of pressure ulcer classification and diagnosis J Adv Nurs 50 6 2005 613 623
37. L. Pinkney, J. Nixon, L. Wilson, S. Coleman, E. McGinnis, N. Stubbs, and et al. Why do patients develop severe pressure ulcers? A retrospective case study BMJ Open 4 1 2014 http://bmjopen.bmj.com/content/4/1/e004303.full.pdf
38. J.M. Black, J.E. Cuddigan, M.A. Walko, L.A. Didier, M.J. Lander, and M.R. Kelpe Medical device related pressure ulcers in hospitalized patients Int Wound J 7 5 2010 358 365
39. NICE Pressure ulcer prevention: the prevention and management of pressure ulcers in primary and secondary care, Clinical Guideline 179, Methods, evidence and recommendations 2014 National Clinical Guideline Centre
40. M. Collinson PURPOSE prevalence statisical report: final analysis in the acute trust 2013 CTRU, Leeds Institute of Clinical Trials Research, University of Leeds