by Caroline Fife, M.D. | Mar 9, 2026 | Fight the Good Fight, Pressure Cooker: Rethinking Pressure Ulcers
In 2006, the National Qualify Forum (NQF) issued a list of 28 Serious Reportable Events (SREs). Fifteen years earlier, I had initiated a major academic wound center and had spent those years trying (and failing) to prevent pressure ulcers in 6 intensive care units...
by Caroline Fife, M.D. | Sep 19, 2025 | Pressure Cooker: Rethinking Pressure Ulcers
Hospitals, nursing homes, and other institutions are often blamed for medically unpreventable pressure ulcers which began as tissue infarctions linked to hemodynamic factors in very sick patients. The companies that ensure these institutions are tired of paying...
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...
