Reduction in wound healing times, cost of consumables and number of visits treated through the implementation of an electronic wound care system in rural Australia

Khalil, Hanan; Cullen, Marianne; Chambers, Helen Phyllis; Carroll, Matthew; Walker, Judi

doi:10.1111/iwj.12414

Cited by 9 publications

(9 citation statements)

References 16 publications

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“…Chronic wounds such as diabetic foot ulcers, venous leg ulcers, and pressure ulcers are a massive burden on the health care facility [1-4]. The costs of treating chronic wounds are considerable, among other things because of the length and complexity of ulceration [2,5,6]. In Denmark, wound care of chronic wounds is organized by specialized hospital units, general practitioners, nursing clinics in municipalities and community nurses visiting people with chronic wounds in their homes [7].…”

Section: Introductionmentioning

confidence: 99%

Models Used in Clinical Decision Support Systems Supporting Healthcare Professionals Treating Chronic Wounds: Systematic Literature Review

Schaarup¹,

Pape-Haugaard²,

Hejlesen³

2018

JMIR Diabetes

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BackgroundChronic wounds such as diabetic foot ulcers, venous leg ulcers, and pressure ulcers are a massive burden to health care facilities. Many randomized controlled trials on different wound care elements have been conducted and published in the Cochrane Library, all of which have only a low evidential basis. Thus, health care professionals are forced to rely on their own experience when making decisions regarding wound care. To progress from experience-based practice to evidence-based wound care practice, clinical decision support systems (CDSS) that help health care providers with decision-making in a clinical workflow have been developed. These systems have proven useful in many areas of the health care sector, partly because they have increased the quality of care, and partially because they have generated a solid basis for evidence-based practice. However, no systematic reviews focus on CDSS within the field of wound care to chronic wounds.ObjectiveThe aims of this systematic literature review are (1) to identify models used in CDSS that support health care professionals treating chronic wounds, and (2) to classify each clinical decision support model according to selected variables and to create an overview.MethodsA systematic review was conducted using 6 databases. This systematic literature review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement for systematic reviews. The search strategy consisted of three facets, respectively: Facet 1 (Algorithm), Facet 2 (Wound care) and Facet 3 (Clinical decision support system). Studies based on acute wounds or trauma were excluded. Similarly, studies that presented guidelines, protocols and instructions were excluded, since they do not require progression along an active chain of reasoning from the clinicians, just their focus. Finally, studies were excluded if they had not undergone a peer review process. The following aspects were extracted from each article: authors, year, country, the sample size of data and variables describing the type of clinical decision support models. The decision support models were classified in 2 ways: quantitative decision support models, and qualitative decision support models.ResultsThe final number of studies included in the systematic literature review was 10. These clinical decision support models included 4/10 (40%) quantitative decision support models and 6/10 (60%) qualitative decision support models. The earliest article was published in 2007, and the most recent was from 2015.ConclusionsThe clinical decision support models were targeted at a variety of different types of chronic wounds. The degree of accessibility of the inference engines varied. Quantitative models served as the engine and were invisible to the health care professionals, while qualitative models required interaction with the user.

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Section: Introductionmentioning

confidence: 99%

Models Used in Clinical Decision Support Systems Supporting Healthcare Professionals Treating Chronic Wounds: Systematic Literature Review

Schaarup¹,

Pape-Haugaard²,

Hejlesen³

2018

JMIR Diabetes

View full text Add to dashboard Cite

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“…The Triple C model was used in the successful implementation of an electronic wound care program across several organisations to track would healing and costs in rural Victoria in Australia [65][66][67][68][69][70]. The authors were able to show a significant improvement of wound healing times and decreasing dressing [66]. The researchers used the consultation stage to identify priority areas of research and a map of operations for the project delivery.…”

Section: Examples Of Using the Triple C Model In Health Services Resementioning

confidence: 99%

Implementation of sustainable complex interventions in health care services: the triple C model

Khalil

Kynoch

2021

BMC Health Serv Res

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Background The changing and evolving healthcare environment means organisations are under increasing pressure to deliver value-based, high quality care to patients through enabling access, reducing costs and improving outcomes. These factors result in an increased pressure to deliver efficient and beneficial interventions to improve patient care and support sustainability beyond the scope of the implementation of such interventions. Additionally, the literature highlights the importance of coordination, cooperation and working together across areas is critical to achieving implementation success. This paper discusses the development of a triple C model for implementation that supports sustainability of complex interventions in health care services. Methods In order to develop the proposed implementation model, we adapted the formal tradition of theory building that is described in sociology. Firstly, we conducted a review of the literature on complex interventions and the available implementation models used to embed these interventions to identify the key aspects relating to successful implementation. Secondly, we devised a framework that encompassed these findings into a simple and workable model that can be easily embedded into everyday practice. This proposed model uses clear, systemic explanation, adds to the current knowledge in this area and is fit for purpose, providing healthcare workers with a simple easy-to-follow framework to embed practice change. Results A three-stage implementation model was devised based on the findings of the literature and named the Triple C model (Consultation, Collaboration and Consolidation). The three stages are interconnected and overlap to support sustainability is considered at all levels of the project ensuring its greater success. This model considers the sustainability within any implementation project. Sustainability of interventions are a key consideration for continuous and successful change in any health care organisation. A set of criteria were developed for each of the three stages to support adaptability and sustainment of interventions are maintained throughout the life of the intervention. Conclusion Ensuring sustainability of interventions requires continuing effort and embedding the need for sustainability throughout all stages of an implementation project. The Triple C model offers a new approach for healthcare clinicians to support sustainability of organizational change.

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“…The Triple C model was used in the successful implementation of an electronic wound care program across several organisations to track would healing and costs in rural Victoria in Australia [61,62]. The authors were able to show a signi cant improvement of wound healing times and decreasing dressing [62]. The researchers used the consultation stage to identify priorities areas of research and a map of operations for the project delivery.…”

Section: Examples Of Using the Triple C Model In Health Services Resementioning

confidence: 99%

Implementation of Sustainable Complex Interventions in Health Care Services: The Triple C Model

Khalil

Kynoch

2020

Preprint

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Background The changing and evolving healthcare means organisations are under increasing pressure to deliver value-based, high quality care to patients through enabling access, reducing costs and improving outcomes. These factors result in an increased pressure to deliver efficient and beneficial interventions to improve patient care and ensure sustainability beyond the scope of the implementation of such interventions. This paper discusses the development of a triple C model for implementation that ensures sustainability of complex interventions in health care services. Methods In order to develop the proposed implementation model, we adapted the formal tradition of theory building that is described in sociology. Firstly, through a review of the literature on complex interventions and the available implementation models used to embed these interventions. Secondly, devising a framework that encompassed these findings into a simple and workable model that can be easily embedded into everyday practice. This proposed model uses clear, systemic explanation, adds to the current knowledge in this area and is fit for purpose, providing healthcare workers with a simple easy-to-follow framework to embed practice change. Results A three-stage implementation model was devised based on the findings of the literature and named the Triple C model (Consultation, Collaboration and Consolidation). The three stages are interconnected and overlap to ensure sustainability is considered at all levels of the project ensuring its greater success. This model considers the sustainability within any implementation project. Sustainability of interventions are a key consideration for continuous and successful change in any health care organisation. A set of criteria were developed for each of the three stages to ensure adaptability and sustainment of interventions are maintained throughout the life of the intervention.Conclusion Ensuring sustainability of interventions requires continuing effort and embedding the need for sustainability throughout all stages of an implementation project. The Triple C model offers a new approach for healthcare clinicians to ensure sustainability of organizational change.

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Reduction in wound healing times, cost of consumables and number of visits treated through the implementation of an electronic wound care system in rural Australia

Cited by 9 publications

References 16 publications

Models Used in Clinical Decision Support Systems Supporting Healthcare Professionals Treating Chronic Wounds: Systematic Literature Review

Models Used in Clinical Decision Support Systems Supporting Healthcare Professionals Treating Chronic Wounds: Systematic Literature Review

Implementation of sustainable complex interventions in health care services: the triple C model

Implementation of Sustainable Complex Interventions in Health Care Services: The Triple C Model

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