Table 4.1. Sample Pressure Ulcer Trigger Summary Report: Resident-Level Section On-Time Quality Improvement Manual for Long-Term Care Facilities NameResident IDWt Loss≥5% in≤30 DaysWt Loss≥10% in≤180 Days2 Meals≤50% in 1 DayWeekly Meal Intake Average<50%Daily Urinary Incontinence>3 Days Bowel IncontinenceFoley CatheterCurrent Pressure UlcerTriggers Last WeekTriggers This WeekRes10001 XXXX X34Res20002X —XXX 24Res30003 X XXX54Res40004 X XXX 04Res50005 X— XXX 24Res60006 X——XX 03Weight loss ≥5% in ≤30 days = Resident weight loss greater than or equal to 5% within the last 30 days from the date weight is recorded.Weight loss ≥10% in ≤180 days = Resident weight loss greater than or equal to 10% within the last 180 days from the date weight is recorded.2 Meals <50% in 1 day = Consumption of less than 50% for each of 2 meals in a single day.Weekly meal intake average <50% = Average intake of breakfast, lunch, and dinner of less than 50% for the report week.Daily urinary incontinence = Documented urinary incontinence daily for the report week.>3 days bowel incontinence = Documented bowel incontinence at least once per day for at least 3 days during the report week.Use of Foley catheter = Documented Foley catheter use.Current pressure ulcer: Presence or absence of an ulcer. Does not display a count of all pressure ulcers. Information is taken from nursing documentation of wound assessments.Dash = No data available.Return to Document Current as of January 2011 Internet Citation: Table 4.1. Sample Pressure Ulcer Trigger Summary Report: Resident-Level Section: On-Time Quality Improvement Manual for Long-Term Care Facilities. January 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/ontime/ontimeqimanual/qimanltab4-1.html
Back
