A pressure ulcer audit and feedback project across multi-hospital settings in the Netherlands.

Objective: To examine whether participating in a pressure ulcer prevalence survey and receiving feedback results in an improvement in quality of care.

Design: Cross-sectional studies from 1998 to 2002 were compared over time.

Setting: Sixty-two acute care hospitals in the Netherlands.

Development of a model for case-mix adjustment of pressure ulcer prevalence rates.

Background: Acute care hospitals participating in the Dutch national pressure ulcer prevalence survey use the results of this survey to compare their outcomes and assess their quality of care regarding pressure ulcer prevention. The development of a model for case-mix adjustment is essential for the use of these prevalence rates as an outcome measure.

Objective: The development of a valid model for case-mix adjustment to compare the prevalence rates in the acute care hospitals that participated in the 1998 Dutch pressure ulcer prevalence survey, for the purpose of performance comparisons among the hospitals.

Prevalence, prevention, and treatment of pressure ulcers: descriptive study in 89 institutions in the Netherlands.

The purpose of the present study was to assess the prevalence of pressure ulcers and the use of Dutch guidelines for the prevention and treatment of pressure ulcers. A survey of 16,344 patients in 89 health care institutions on 1 day showed a mean prevalence of pressure ulcers of 23.1%.