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Pressure Ulcers: Even the Grading of Facilities Fails

Barbara Pieper, PhD, RN; and Robert S. Kirsner, MD, PhD
[+] Article, Author, and Disclosure Information

From Wayne State University, Detroit, Michigan; and University of Miami Miller School of Medicine, Miami, Florida.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2077.

Requests for Single Reprints: Barbara Pieper, PhD, RN, College of Nursing, Wayne State University, 5557 Cass Avenue, Detroit, MI 48202; e-mail, bpieper@wayne.edu.

Current Author Addresses: Dr. Pieper: College of Nursing, Wayne State University, 5557 Cass Avenue, Detroit, MI 48202.

Dr. Kirsner: Department of Dermatology & Cutaneous Surgery, University of Miami Miller School of Medicine, 1600 NW 10th Avenue, RMSB, Room 2023-A, Miami, FL 33136.

Ann Intern Med. 2013;159(8): 571-572. doi:10.7326/0003-4819-159-8-201310150-00013
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In this issue, Meddings and colleagues evaluated the frequency of hospital-acquired pressure ulcers reported in administrative data and active surveillance data from a California hospital collaborative and found deficiencies in the ability to identify highly and poorly performing institutions. The editorialists discuss the study and its findings, which they believe challenge us to think about clinical grading in terms of pressure ulcers.

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