{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:07:22Z","timestamp":1791976042734,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the reporting accuracy of pressure injury categorisation by bedside clinicians, compared with nurse experts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Pressure injuries are an enduring complication of hospitalisation. The categorisation of pressure\u00a0injury affects treatment and management decision\u2010making and use of resources, and severe hospital\u2010acquired pressure\u00a0injury incidence is used to benchmark quality of care. However, it is unclear how accurately pressure\u00a0injuries are categorised by clinicians in practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary analysis of hospital pressure injury incident and validation data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All pressure injuries reported in adults between 2016 and 2019 that were subsequently validated by nurse experts were analysed. Absolute agreement is reported using percentages, with inter\u2010rater agreement reported using Kappa measure of agreement. The GRRAS reporting guideline was followed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 6186 pressure\u00a0injuries that were analysed, the category was reported correctly in 67.3% (<jats:italic>n<\/jats:italic>\u00a0=\u20094163), with an overall moderate level of inter\u2010rater agreement by category (\u039a\u00a0=\u2009.567, <jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001). Of those found to be non\u2010pressure injuries when validated (18.3%, <jats:italic>n<\/jats:italic>\u00a0=\u20091129), most were reported originally as stage II (41.2%, <jats:italic>n<\/jats:italic>\u00a0=\u2009465) or stage I (30.5%, <jats:italic>n<\/jats:italic>\u00a0=\u2009344), and 13.4% (<jats:italic>n<\/jats:italic>\u00a0=\u2009151) were categorised initially as unstageable. The majority reported initially as stage I, stage II, suspected deep tissue injury or mucosal pressure injury were validated, whereas half of those reported initially as stage III or IV were validated and less than a third of those reported initially as unstageable pressure injuries were validated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides important insight into the accuracy of pressure injury categorisation. Whilst moderate agreement of categorisation was found between reporting clinicians and nurse experts, pressure injury differential diagnosis and categorisation of severe injuries were inadequate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>These results may be used for benchmarking and provide a focal point for future education and practice improvement efforts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Neither patients nor the public were directly involved in the project.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16662","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T00:03:04Z","timestamp":1677196984000},"page":"6403-6414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Reporting accuracy of pressure injury categorisation in an acute tertiary hospital: A four\u2010year analysis"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6547-1861","authenticated-orcid":false,"given":"Paul","family":"Fulbrook","sequence":"first","affiliation":[{"name":"School of Nursing, Midwifery &amp; Paramedicine, Faculty of Health Sciences Australian Catholic University  Brisbane Queensland Australia"},{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Health Sciences University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1466-2374","authenticated-orcid":false,"given":"Josephine","family":"Lovegrove","sequence":"additional","affiliation":[{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital  Brisbane Queensland Australia"},{"name":"School of Nursing, Faculty of Health Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e31826a4b5c"},{"key":"e_1_2_13_3_1","unstructured":"Australian Commission on Safety and Quality in Health Care. 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