Annual Report and Accounts - The Great Western Hospital

Pressure ulcers Community: The community Tissue Viability Team has a monthly reporting
mechanism in which all patients who develop a pressure ulcer, while in the care of the community
nursing team, are reported, using a paper based audit tool to the tissue viability office. There has
been 100% reporting for the last 12 months.
The data is formatted into a quarterly report which is then distributed to all of the Neighbourhood
team Co-ordinators and has been presented at the Quality Meetings with managers and
commissioners.
The pressure ulcer risk assessment tool used within community teams is the Pressure Ulcer Risk
Assessment Tool (PURAT) and has been used successfully for five years and has won a national
award for innovation. The pressure ulcers are put into Categories in accordance with the 2009
European Pressure Ulcer Advisory Panel which advises NICE and the Department of Health.
The target combined number of category 3 and 4 pressure ulcers is 40 and the number developed is
23. This is 17 below target (57%).
GRAPH – Hospital Acquired Pressure Ulcers WCHS – Category 3 and 4
Pressure Ulcers WCHS - Grade 3 & 4
Combined Total Target
Total Achieved
70
60
60
Total Number
50
40
30
20
Total
Target
of 60
or less
30
45
Total
target
of 45
or less
26
40
Total
Target
of 40 or
less
10
17
0
2009/10 2010/11 2011/12
April 2009 to March 2012
The reduction in pressure ulcers has been achieved through some of the following initiatives:
• Provision of pressure relieving alternating air mattresses to high risk community patients
within 4 hours of referral
• Community in-patient units use the white board and handover sheets for every shift to
highlight patients at high risk. There has been one category IV pressure ulcer developed on
the community hospital ward in the last 12 months
• The tissue viability team respond to referral regarding a patient with a category 3 or 4 within
one working day
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