by Caroline Fife, M.D. | Jul 14, 2025 | Pressure Cooker: Rethinking Pressure Ulcers
In the August 28, 2024 Final Rule (CMS‑3401‑F), CMS (the Centers for Medicare and Medicaid) updated the list of “Hospital Harms” in the Hospital Inpatient Quality Reporting (IQR) requirements. The new rule became effective this year. I will skip the...
by Caroline Fife, M.D. | Jun 23, 2025 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Dear Dr. Fife, I am writing this letter as a general surgeon who is deeply concerned about our healthcare system. As you have pointed out in your blog, physician payments by CMS and private insurers are a fraction of what they were 20 years ago because physician...
by Caroline Fife, M.D. | Jun 20, 2025 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
The National Quality Forum (NQF) has issued a request for public comment about their update on Serious Reportable Events (SREs). Every hospital-based outpatient wound center (HOPD) and “mobile” wound care practitioner needs to read this carefully. I hope all of you...
by Caroline Fife, M.D. | Oct 14, 2024 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
I had a fantastic time in San Diego at the American Society for Healthcare Risk Management, speaking with my friend Monica Chadwick. Our presentation was called, “The X Factor: A Paradigm Shift in Mitigating Severe Pressure Ulcer/Deep Tissue Malpractice Claims.” We...
by Caroline Fife, M.D. | Oct 3, 2024 | Pressure Cooker: Rethinking Pressure Ulcers
Don’t watch this video unless you want to have a different conversation about the origin of severe pressure ulcers… Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care....
by Caroline Fife, M.D. | May 10, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Check out this podcast interview with Drs. Tracey Yap and Jenny Alderden discussing their recent research on the frequency of repositioning for nursing home patients and the relationship of pressure injuries (PI) to angiosomes. Here’s a link to the related article in...
by Caroline Fife, M.D. | Mar 5, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
In 2019 when Dr. Gksoulias and I published “On the Origin of Intraoperative Pressure Injury: An Angiosomal Theory of Pressure Injury Formation,” I didn’t make a big deal about the photo above, but I think it’s time to talk about it. To look at this heel pressure...
by Caroline Fife, M.D. | Mar 3, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Over the years, I have created a few videos on my YouTube channel from serial photographs to show how Deep tissue injuries (DTI) and stage 4 pressure ulcers form from the inside out — at least, that’s what it looks like in these photos — although I can’t...
by Caroline Fife, M.D. | Mar 2, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
Yesterday I posted a new pressure ulcer case report authored by Jenny Alderden, Dr. Tracey Yap and myself, which provides new evidence for the “inside out” vascular infarction theory of severe pressure ulcer formation (and which also explains Stage 1 pressure...
by Caroline Fife, M.D. | Mar 1, 2021 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
More Evidence for Angiosomal Ischemia in This Report It’s finally out! The follow-up to the paper published previously about the angiosome theory of pressure injury! Pass this around freely because it was published Open Source. It has never made sense that external...
