Page 69 - MALAYSIAN PATIENT SAFETY GOALS

TECHNICAL SPECIFICATIONS OF MALAYSIAN PATIENT SAFETY GOALS

& KPIs

Patient Safety To reduce the incidence of Healthcare-Associated
Goal No. 10 Pressure Ulcers

Rationale Pressure ulcers cause considerable harm to patients
and can lead to morbidity, mortality. Moreover, it is
largely preventable.

Strategies & To implement healthcare-associated pressure ulcer

Implementation prevention programmes

KPI No. 16 Incidence Rate Of Pressure Ulcers

Definition of Pressure ulcer: an area of localised damage to the
Terms skin and underlying tissue caused by pressure, shear,
friction and/or a combination of these
Immobilized patient: patient who is unable to carry

out activities of daily living (e.g. unable to feed or
bathe by him/herself)

Criteria Inclusion criteria:
1)Immobilized patient
2)Pressure ulcer developed 48 hours after admission

3)No sign of pressure ulcer during admission
Exclusion criteria:
Pre-existing pressure points prior to admission

Numerator (N) Number of immobilized patients who develop

pressure ulcer more than 48 hours after admission

Denominator (D) Total number of immobilized patients

Formula (N/D) x 100

Target ≤ 2.1%

Data collection at Quarterly

facility level

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