In this section :

Pressure Ulcer: Clinical and System Reviews, Incident Analyses

Given the broad range of potential causes of hospital associated Pressure Ulcers, clinical and system reviews should be conducted to identify latent causes and determine appropriate recommendations.

Occurrences of harm are often complex with many contributing factors. Organizations need to:

  1. Measure and monitor the types and frequency of these occurrences.
  2. Use appropriate analytical methods to understand the contributing factors.
  3. Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
  4. Have mechanisms in place to mitigate consequences of harm when it occurs.

To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for conducting chart audits and analysis methods are included in the Hospital Harm Improvement Resources Introduction. 

If your review reveals that your cases of Pressure Ulcer/Injury are linked to specific processes or procedures, you may find these resources helpful:

image_banner
Pressure Ulcer

Back to Overview

image_banner
Pressure Ulcer

Back to Overview

Icon

Subscribe to email updates

Join us in shaping the future of quality and safety. Together.
Subscribe to updates on the information and opportunities that matter most to you.

Subscribe now

Healthcare Excellence Canada honours the traditional territories upon which our staff and partners live, work and play. We recognize that the stewardship of the original inhabitants of these territories provides for the standard of living that we enjoy today. Learn more

© 2024 Healthcare Excellence Canada