A collaborative project to enhance efficiency through dressing change practice

Joy, Hoon; Bielby, Alistair; Searle, Richard

doi:10.12968/jowc.2015.24.7.312

Cited by 9 publications

(14 citation statements)

References 2 publications

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“…This example was reported as part of an evaluation of community health care provision for patients with a wound in a provider in the UK . The study results indicate that the introduction of a novel dressing allowed nurses to reduce the frequency of their nurse visits by almost two visits per patient per week and that procurement costs were also reduced through less frequent dressing changes.…”

Section: How Can We Deliver Improved Efficiency In Wound Management?mentioning

confidence: 87%

“…This capacity for reduction in this expenditure will depend on the pattern of dressing usage by a care provider, the mix of products that are used and the frequency with which they are changed. Nevertheless, even if only one quarter of the potential reduction reported by Joy et al were to be realised, this could indicate a 15–20% saving in dressing costs. * 3·5/1000 × 0·79 × 1 000 000 = 2765. † Assuming 31 minutes per visit .…”

Section: Making the Best Use Of Resources – Doing More With Lessmentioning

confidence: 98%

“…Releasing nurse visits may also reduce the number of dressings required. This has the potential to provide procurement savings .…”

Section: How Can We Reconcile Increasing Patient Demands With Scarce mentioning

confidence: 99%

“…The study results indicate that the introduction of a novel dressing allowed nurses to reduce the frequency of their nurse visits by almost two visits per patient per week and that procurement costs were also reduced through less frequent dressing changes. The implications of this at a patient level can be illustrated through a case study of one patient that had a wet leaking leg that was being re‐dressed twice daily, resulting in 14 nurse visits and dressing changes per week . The cost of these visits and dressing changes was substantial.…”

Section: How Can We Deliver Improved Efficiency In Wound Management?mentioning

confidence: 99%

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Wound management for the 21st century: combining effectiveness and efficiency

Lindholm

Searle

2016

International Wound Journal

362

262

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Treatment of wounds of different aetiologies constitutes a major part of the total health care budget. It is estimated that 1⋅5-2 million people in Europe suffer from acute or chronic wounds. These wounds are managed both in hospitals and in community care. The patients suffering from these wounds report physical, mental and social consequences of their wounds and the care of them. It is often believed that the use of wound dressings per se is the major cost driver in wound management, whereas in fact, nursing time and hospital costs are together responsible for around 80-85% of the total cost. Healing time, frequency of dressing change and complications are three important cost drivers. However, with the use of modern, advanced technology for more rapid wound healing, all these cost drivers can be substantially reduced. A basic understanding of the terminology and principles of Health Economics in relation to wound management might therefore be of interest.

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Section: How Can We Deliver Improved Efficiency In Wound Management?mentioning

confidence: 87%

Section: Making the Best Use Of Resources – Doing More With Lessmentioning

confidence: 98%

“…Releasing nurse visits may also reduce the number of dressings required. This has the potential to provide procurement savings .…”

Section: How Can We Reconcile Increasing Patient Demands With Scarce mentioning

confidence: 99%

Section: How Can We Deliver Improved Efficiency In Wound Management?mentioning

confidence: 99%

See 2 more Smart Citations

Wound management for the 21st century: combining effectiveness and efficiency

Lindholm

Searle

2016

International Wound Journal

362

262

View full text Add to dashboard Cite

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“…fractures, whereby absence of photographic documentation could be seen as adversely affecting a patient experience and outcome. For example, repeatedly taking down a dressing for multidisciplinary team assessment may result in unnecessary pain and risk of contamination [12]. In line with telemedicine, access to digital photography from a remote location without the need for in-person review allows for a wider access to expertise, which is especially useful in resource-limited settings.…”

Section: Plos Onementioning

confidence: 99%

Remote monitoring of clubfoot treatment with digital photographs in low resource settings: Is it accurate?

et al. 2020

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Background Clinical examination and functional assessment are often the first steps to assess outcome of clubfoot treatment. Clinical photographs may be an adjunct used to assess treatment outcomes in lower resourced settings where physical review by a specialist is limited. We aimed to evaluate the diagnostic performance of photographic images of patients with clubfoot in assessing outcome following treatment. Methods In this single-centre diagnostic accuracy study, we included all children with clubfoot from a cohort treated between 2011 and 2013, in 2017. Two physiotherapists trained in clubfoot management calculated the Assessing Clubfoot Treatment (ACT) score for each child to decide if treatment was successful or if further treatment was required. Photographic images were then taken of 79 feet. Two blinded orthopaedic surgeons assessed three sets of images of each foot (n = 237 in total) at two time points (two months apart). Treatment for each foot was rated as 'success', 'borderline' or 'failure'. Intra-and inter-observer variation for the photographic image was assessed. Sensitivity, specificity, positive and negative predictive values were calculated for the photographic image compared to the ACT score. Results There was perfect correlation between clinical assessment and photographic evaluation of both raters at both time-points in 38 (48%) feet. The raters demonstrated acceptable reliability with re-scoring photographs (rater 1, k = 0.55; rater 2, k = 0.88). Thirty percent (n = 71) of photographs were assessed as poor quality image or sub-optimal patient position.

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Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis

Mathieson

Grande

Luker

2018

Prim Health Care Res Dev

109

129

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Implementation is an expanding area of research; yet is challenged by a lack of consistency in terminology and limited use of theory. Implementation within community nursing is a complex process, requiring both individual and organizational adoption, and managerial support. Successful adoption of evidence-based practice however, is only possible if community nurses themselves deem it useful and there is evidence that it could have a positive impact on the patient and/or their primary carer.

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A collaborative project to enhance efficiency through dressing change practice

Abstract: Alistair Bielby is a contractor for Smith & Nephew. Richard Searle is an employee of Smith & Nephew. This project was supported by an unrestricted grant from Smith & Nephew.

Cited by 9 publications

References 2 publications

Wound management for the 21st century: combining effectiveness and efficiency

Wound management for the 21st century: combining effectiveness and efficiency

Remote monitoring of clubfoot treatment with digital photographs in low resource settings: Is it accurate?

Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis

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