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一种常规伤口管理的临床支持应用程序:减少实践差异,提高临床医生信心并提高处方遵从性。

A Clinical Support App for routine wound management: reducing practice variation, improving clinician confidence and increasing formulary compliance.

机构信息

Skin Wounds and Trauma (SWaT) Research Centre, School of Nursing and Midwifery, RCSI University of Medicine and Health Services, Dublin, Ireland.

School of Nursing & Midwifery, Griffith University, Gold Coast, Queensland, Australia.

出版信息

Int Wound J. 2022 Aug;19(5):1263-1275. doi: 10.1111/iwj.13868. Epub 2022 Jul 6.

Abstract

Wounds continue to be of a global concern. Therefore, a more focussed, evidence-based approach to wound assessment and management is required. The WOUND COMPASS™ Clinical Support App (CSA) is designed to support the health care professional with wound assessment and management at the point of care. This real-world pilot study aimed to determine the utility of the CSA during routine wound management, in multiple care settings. A non-interventional, real-world pilot programme of the CSA was conducted at four sites. Patients received routine wound management. The CSA was programmed to replicate the site's formulary for evidence-based wound management. Anonymised pre- and post-pilot clinician opinion surveys on useability and impact of the CSA were collected and reported. Wound Specialists (n = 7 [100%]) and Non-Wound Specialists (NWS) (n = 58 [82%]) indicated that competence and confidence in wound assessment were enhanced with use of the CSA (100%; 82%). Furthermore, practice variation was reduced because of a greater compliance to their local formulary (n = 7 [100%]; 79% [54%]). This real-world pilot shows the positive impact of the CSA, and the improvements that can be potentially realised via reduction in practice variation, improvement in NWSs confidence when managing wounds and increased formulary compliance.

摘要

伤口问题一直备受全球关注。因此,我们需要更有针对性、更具循证医学依据的方法来进行伤口评估和管理。WOUND COMPASS™临床支持应用程序(CSA)旨在为护理点的医疗保健专业人员提供伤口评估和管理方面的支持。本真实世界试点研究旨在确定 CSA 在多种护理环境下常规伤口管理中的实用性。在四个地点进行了 CSA 的非干预性、真实世界试点项目。患者接受常规伤口管理。CSA 被编程为复制该站点基于证据的伤口管理处方集。收集并报告了匿名的试点前和试点后临床医生关于 CSA 的可用性和影响的意见调查。伤口专家(n=7[100%])和非伤口专家(NWS)(n=58[82%])表示,使用 CSA 增强了伤口评估的能力和信心(100%;82%)。此外,由于更遵守当地处方集,实践差异减少(n=7[100%];79%[54%])。本真实世界试点研究表明了 CSA 的积极影响,以及通过减少实践差异、提高 NWS 管理伤口的信心和增加处方集的依从性,可能实现的改进。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1205/9284651/3aaee839de4a/IWJ-19-1263-g003.jpg

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