Nursing Sensitive Indicators

Parkland uses a nationally recognized nursing database to report and benchmark quality data known as National Database of Nursing Quality Indicators (NDNQI).

Hospital-Acquired Pressure Ulcers (HAPU)

This measure defines the number of patients who developed a new pressure ulcer after admission to the hospital. Lower numbers are better. A score of zero (0) is best because it means there were no HAPUs.

Out target is based on the 50th percentile of NDNQI’s hospital performance greater than or equal to 500 beds, all reporting units combined and acuity adjusted.

	Preferred Direction	Parkland FY 18 Base	July - Sept. 2019	Oct. - Dec.. 2019	National Avg.
Nursing Sensitive Indicators
Hospital Acquired Pressure Ulcers (HAPU)		2.25%	1.98%	2.16%	3.46%

Fall Rate

Falls are a leading cause of hospital-acquired injury, and can prolong or complicate hospital stays. Thus, this measure was created to to increase awareness and to eliminate all falls with injury through establishment of a fall prevention protocol.

This measure defines the number of patients per 1,000 days who fall while in the hospital.  

	Preferred Direction	Parkland FY 18 Base	July - Sept.  2019	Oct. - Dec.. 2019	National Avg.
Nursing Sensitive Indicators
Falls		2.21%	2.06%	2.05%	3.29%

Restraints

Patient restraints are sometimes used to keep a person in proper position and prevent movement or falling during surgery or while on a stretcher. Restraints can also be used to control or prevent harmful behavior. Sometimes patients who are confused need restraints so that they do not hurt themselves or others. This measure is defined as the percentage of patients requiring restraints.

	Preferred Direction	Parkland FY 18 Base	July - Sept. 2019	Oct. - Dec. 2019	National Avg.
Nursing Sensitive Indicators
Restraints		2.43%	3.24%	3.78%	5.96%

Updated 4/26/24