Risk Management

Webinar on Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure

Please join me Thursday, November 16 from 3:00-4:00pm EDT for a free webinar presented by myself and Elizabeth A. Ayello, PhD, RN, sponsored by the National Pressure Ulcer Advisory Panel (NPUAP), entitled Unavoidable Pressure Injuries, Terminal Ulceration, and Skin Failure: Where Are We and Where Are We Going? After

  3.11.2017

Government Data Sheds Doubt Upon Pressure Ulcers as a Quality Indicator

Nearly all organizations concerned with healthcare quality have recognized pressure ulcers as a quality indicator. This assumption has impacted reimbursement policy and facility ratings, and resulted a risk-management burden for caregivers across the healthcare continuum. Despite the fact that pressure ulcers can sometimes reflect upon quality of care, it

  29.08.2015

Pressure Ulcer as “Never Event”: Fact or Myth?

The term “never event” is commonly applied to pressure ulcers, giving the impression that they are always associated with medical error. As such, it lends this outcome an emotional charge that can lead to misplaced patient dissatisfaction and unnecessary accusations of wrongdoing or poor quality. Although

  2.06.2014

New Research Suggests Hypotension is a Risk Factor for Pressure Ulcers

The industry-wide acceptance of risk assessment scales for pressure ulcers has gotten us accustomed to evaluating risk factors for skin breakdown. The most popular is the Braden Scale which incorporates subscales of sensory perception, moisture, activity, mobility, nutrition, and friction and shear. There are however, other factors which

  28.01.2014

New Research Challenges “Q2H” Turning Standard for Pressure Ulcer Prevention

The industry standard for turning and repositioning a patient at risk for pressure ulcers is every two hours. There is, however, limited research to support this standard. As the costliest elements of pressure ulcer prevention are support surfaces and repositioning, a change in this standard would

  28.10.2013

The Unavoidable Pressure Ulcer Gains Credibility with Geriatrics Practitioners

The 8th Edition of the Geriatric Review Syllabus (GRS8) released this year contains a brief but significant addition to the chapter on pressure ulcers: a section on the unavoidable pressure ulcer. This is the first time an official study guide for the medical specialty of geriatrics

  16.09.2013

CMS recognizes the Kennedy Terminal Ulcer in Long-Term Care Hospitals

The Kennedy Terminal Ulcer (KTU) has been around for over two decades, and continues to play a large part in discussions as to whether pressure ulcers are avoidable or unavoidable. Until now the Center for Medicare and Medicaid Services (CMS) has not acknowledged the KTU in

  10.07.2013

Pressure Ulcer Nomenclature and Documentation

Flawed and inconsistent wound documentation has serious risk-management implications.  This blog post will examine some fine points regarding pressure ulcer nomenclature and documentation. Many definitions and classification schemes for pressure ulcers were developed over the years and continue to be a source of confusion.  As patients move

  14.01.2012

5 Ways to Improve Communication Regarding Wound Care

Because of the interdisciplinary nature of wound care, communication is critical to maintain the process of healing.  This applies to all types of chronic wounds including pressure ulcers and ulcers related to arterial and venous disease.  There are several avenues of communication for wound care, all

  7.08.2011

Government Study Cites Flawed Medical Device Approval Process

FACT: Many wound-care products are considered “medical devices” with limited data on efficacy. A new study released by the Institute of Medicine points out that the FDA’s approval process for medical devices is flawed.  Medical devices include high profile items such as hip replacements, but this

  1.08.2011

Dr. Jeffrey M. Levine has authored numerous articles on topics related to healthcare of the elderly. These include medical history, prevention and treatment of chronic wounds such as pressure ulcers, elder neglect and abuse, and physical restraints. He has also edited a book on legal and regulatory aspects of nursing homes.