Department of Nursing and Midwifery Executive Services, Sydney Local Health District (SLHD), Sydney, New South Wales, Australia.
Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Int Wound J. 2022 Oct;19(6):1561-1577. doi: 10.1111/iwj.13755. Epub 2022 Feb 25.
Wound documentation is integral to effective wound care, health data coding and facilitating continuity of care. This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient user perspective. A quasi-experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard group (n = 166, 243 wounds) and intervention group (n = 124, 184 wounds), at baseline and post-intervention. Clinicians participated in a survey (n = 10) and focus group interviews (n = 13) and patients were interviewed (n = 4). Wound documentation data were analysed descriptively, and bivariate statistics were used to determine between-group differences. Thematic analysis of interviews was conducted. Compared with the standard group, wound documentation in the intervention group improved significantly (more than two items documented 24% vs 70%, P < .001). During the intervention, 101 out of 132 wounds improved (mean wound size reduction = 53.99%). Positive evaluations identified improvements such as instantaneous objective wound assessment, shared wound plans, increased patient adherence and enhanced efficiency in providing virtual care. The use of the application facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.
伤口文档记录对于有效的伤口护理、健康数据编码和促进护理连续性至关重要。本研究从临床医生和患者用户的角度评估了一种用于伤口评估和管理的人工智能应用程序的可用性和效果。在澳大利亚医疗服务的四个地点进行了准实验设计。在基线和干预后，从标准组（n=166，243 个伤口）和干预组（n=124，184 个伤口）的患者中收集数据。临床医生参与了一项调查（n=10）和焦点小组访谈（n=13），患者接受了访谈（n=4）。对伤口文档数据进行描述性分析，并使用双变量统计数据确定组间差异。对访谈进行了主题分析。与标准组相比，干预组的伤口文档记录显著改善（记录超过两项的比例为 24%比 70%，P<0.001）。在干预期间，132 个伤口中有 101 个得到改善（平均伤口面积减少 53.99%）。积极评价包括即时客观的伤口评估、共享的伤口计划、增加患者的依从性以及在提供虚拟护理方面提高效率。该应用程序的使用促进了远程患者监测，减少了患者的旅行时间，同时保持了最佳的伤口护理。
