Aantal zorgvragers dat decubitus categorie II en hoger heeft op een bepaald tijdstip en deze heeft ontwikkeld binnen de eigen instelling (nosocomiaal)

onderlagen bij de behandeling van decubitus

Teller 2 Aantal zorgvragers dat decubitus categorie II en hoger heeft op een bepaald tijdstip en deze heeft ontwikkeld binnen de eigen instelling (nosocomiaal)

Noemer 1 Aantal zorgvragers op een bepaald tijdstip

Teller 2 Aantal zorgvragers dat decubitus categorie II en hoger heeft op een bepaald tijdstip en deze heeft ontwikkeld binnen de eigen instelling (nosocomiaal)

Noemer 2 Aantal zorgvragers op een bepaald tijdstip

Definitie(s) - Categorie II: verlies van een gedeelte van de huidlaag

Oppervlakkige open wond, rood/roze wondbodem, zonder wondbeslag. Kan ook intacte/gescheurde blaar zijn gevuld met vocht of serum en bloed. - Categorie III: verlies van een volledige huidlaag

Verlies van de volledige huidlaag. Subcutaan vet kan zichtbaar zijn. Bot, pezen en spieren liggen niet bloot. Wondbeslag kan aanwezig zijn, deze verbergt de diepte van de weefselbeschadiging niet. Ondermijning of tunneling kunnen aanwezig zijn.

- Categorie IV: verlies van een volledige weefsellaag

Verlies van een volledige weefsellaag met blootliggend bot, pezen of spieren. Een vervloeid wondbeslag of necrotische korst kan aanwezig zijn. Vaak ondermijning of tunneling. Categorie IV decubitus kan zich ook onder een intacte huid manifesteren.

Type indicator Uitkomst

In- en

exclusiecriteria

Exclusie:

- zorgvragers die ≤1 nacht in zorg zijn - kraamvrouwen

Bron Zorgvrager

Meetniveau Zorgvrager

Meetfrequentie Minimaal 1x per jaar

Incidentie decubitus

Relatie tot kwaliteit Decubitus kan in veel gevallen worden voorkomen door het tijdig inzetten van preventieve maatregelen bij zorgvragers met (risico op) decubitus. De incidentie van decubitus is derhalve een maat voor de kwaliteit van zorg.

Omschrijving % zorgvragers dat nieuwe decubitus categorie II en hoger heeft ontwikkeld in een vastgestelde periode

Teller Aantal zorgvragers dat nieuwe decubitus categorie II en hoger heeft ontwikkeld in een vastgestelde periode

Noemer Aantal zorgvragers in een vastgestelde periode

Definitie(s) - Categorie II: verlies van een gedeelte van de huidlaag

Oppervlakkige open wond, rood/roze wondbodem, zonder wondbeslag. Kan ook intacte/gescheurde blaar zijn gevuld met vocht of serum en bloed. - Categorie III: verlies van een volledige huidlaag

- Categorie IV: verlies van een volledige weefsellaag

Type indicator Uitkomst

In- en

exclusiecriteria

Geen

Bron Zorgvrager

Meetniveau Zorgvrager

175

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