ADVERSE EVENT OUTCOME REPORT Report Period______

Emergent Care for Wound Infections, Deteriorating Wound Status

Definition: The patient received emergent care after SOC/ROC, and the emergent care reason was "wound infection, deteriorating wound status, new lesion/ulcer."

OASIS M0 triggers: M0830, M0840 (Transfer/Discharge)

Pt. Name ______SOC date ______MR#______

Age ______Sex ______Case Manager ______

Review Date ______Reviewer______

QUESTIONS / YES / NO / IE / COMMENTS
1. Was the patient treated emergently for a wound infection, deteriorating wound status or new lesion/ulcer?
If no, was there an error in the OASIS documentation?
If the documentation does not support the above definition of the adverse outcome, stop the audit at this point
2. Was the patient discharged from an inpatient setting with a wound?
3. Did the patient have a wound infection on admission to home care?
4. If no, did the infection develop at home?
5. Was the patient's wound draining? If so, describe.
6. What other S&S of infection did the patient have, e.g. redness, temp elevation, pain, positive culture, etc?
7. Was there a specific order for wound care?
8. If so, was the patient/cg performing the wound care as ordered?
9. Was the wound assessed each visit?
10. Was the wound measured weekly?
Emergently includes the ER or a doctor's office visit with less than 24 hours notice
IE = Insufficient evidence documented to make decision/not documented

ADVERSE EVENT OUTCOME REPORT-Emergent Care for Wound Infections, Deteriorating Wound Status

QUESTION / YES / NO / IE / COMMENTS
11. If there were changes in the wound, was the physician notified?
12. If there was no improvement in the wound within 2 weeks, was the physician contacted regarding a possible change in the wound treatment?
13. Was the patient's nutrition assessed each visit?
14. If nutrition was poor, what interventions took place?
15. Was an ET/WOCN nurse involved in the case?
Patient Status - Mental
16. Was the patient cognitively impaired or experience periods of confusion?
Caregiver - Support Systems
17. Was the caregiver able to correctly perform the wound care?
18. Did the pt/cg verbalize an understanding of the S&S of infection?
19. Did the pt/cg notify the clinician/physician when there were changes in the wound?
Environment
20. Was the home environment conducive to home wound care?
21. Were wound care supplies available?
Conclusions
Based on the documentation, could this adverse outcome have been prevented? YES NO UNSURE
If yes, what may have been done to prevent the adverse outcome:
If no, explain:
If uncertain, explain:

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