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Pressure ulcers: new staging, reporting, and risk reduction strategies
Pressure ulcers: new staging, reporting, and risk reduction strategies
The 2007 National Pressure Ulcer Advisory Panel pressure ulcer update and the October 2008 facility reimbursement changes by the Centers for Medicare & Medicaid Services for Stage III or IV pressure ulcers add resource burdens to healthcare facilities. The ultimate goal of these updates and changes is to decrease the overall rate of hospital-acquired pressure ulcers. In 2007, nearly 13% of all pressure ulcers reported through PA-PSRS were categorized as Stage III or IV; more than 26% of the total reports did not include any pressure ulcer staging information. The admission diagnosis and documentation of Stage III or IV pressure ulcers are essential to overall pressure ulcer identification, care, and ultimately, reduction. Risk reduction strategies include pressure ulcer protocol development, implementation, consistent documentation, and communication systems that extend along the entire continuum of care.
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