Standardization of Wound Photography Using the Wound Electronic Medical Record

Rennert, Robert C.; Golinko, Michael S.; Kaplan, Dave; Flattau, Anna; Brem, Harold

doi:10.1097/01.asw.0000343718.30567.cb

Cited by 56 publications

(72 citation statements)

References 38 publications

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“…In addition, it would be important to incorporate recent advances in wound imaging technology to facilitate improved accuracy of TM decision making. 12, 13 Rennert et al 13 described training to include: wound preparation, taking the photograph using proper technique, uploading and editing the photograph, and measuring the wound through software. For all new trainees, photographs are reviewed for a period of 2 weeks.…”

Section: Telemedicinementioning

confidence: 99%

“…For all new trainees, photographs are reviewed for a period of 2 weeks. 13 The WCSs' analyses are reliant on the information captured by the study nurse in the home, who is ultimately responsible for taking high-quality digital images and providing complete and accurate database information. This underscores an important conclusion of the study that was expressed by a number of the study staff, namely, that TM is an excellent communication and educational tool.…”

Section: Telemedicinementioning

confidence: 99%

See 1 more Smart Citation

Feasibility Study of Home Care Wound Management Using Telemedicine

Terry

Halstead

O'Hare

et al. 2009

Advances in Skin &Amp; Wound Care

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Uneven distribution of severity and type of wounds among groups, with greatest percentage of large wounds in TM group. Larger wounds consume more resources. TM is a useful communication tool in wound management but with limited power when randomization does not include wound size or type. Two important benchmarks were established for home care. First, it took 51 days, on average, to heal or improve PrUs and 34 days to heal or improve surgical wounds regardless of group. Second, nearly 90% of wounds improved or healed.

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Section: Telemedicinementioning

confidence: 99%

Section: Telemedicinementioning

confidence: 99%

Feasibility Study of Home Care Wound Management Using Telemedicine

Terry

Halstead

O'Hare

et al. 2009

Advances in Skin &Amp; Wound Care

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show abstract

“…Pressure ulcers are often a secondary condition that develops upon admission to hospital, and can lengthen hospital stay, delay the recovery of the patient, and exacerbate mobility limitations and social isolation as part of overall negative social and psychological impacts [3]. Pressure ulcers are also associated with increased mortality rates from underlying conditions [4,5,6,7,8], and the financial impact of treating pressure ulcers is substantial [9]. …”

Section: Introductionmentioning

confidence: 99%

A mHealth Application for Chronic Wound Care: Findings of a User Trial

Friesen

Hamel

McLeod

2013

IJERPH

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This paper reports on the findings of a user trial of a mHealth application for pressure ulcer (bedsore) documentation. Pressure ulcers are a leading iatrogenic cause of death in developed countries and significantly impact quality of life for those affected. Pressure ulcers will be an increasing public health concern as the population ages. Electronic information systems are being explored to improve consistency and accuracy of documentation, improve patient and caregiver experience and ultimately improve patient outcomes. A software application was developed for Android Smartphones and tablets and was trialed in a personal care home in Western Canada. The software application provides an electronic medical record for chronic wounds, replacing nurses’ paper-based charting and is positioned for integration with facility’s larger eHealth framework. The mHealth application offers three intended benefits over paper-based charting of chronic wounds, including: (1) the capacity for remote consultation (telehealth between facilities, practitioners, and/or remote communities), (2) data organization and analysis, including built-in alerts, automatically-generated text-based and graph-based wound histories including wound images, and (3) tutorial support for non-specialized caregivers. The user trial yielded insights regarding the software application’s design and functionality in the clinical setting, and highlighted the key role of wound photographs in enhancing patient and caregiver experiences, enhancing communication between multiple healthcare professionals, and leveraging the software’s telehealth capacities.

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“…[14][15][16][17] However, to our knowledge, no study has been done incorporating this tool in OPAT programs for SSTIs, nor has digital photography been formally studied in an emergency department (ED) setting.…”

Section: Ré Sumémentioning

confidence: 99%

“…Photographs were taken by the attending physician or nurse after having received basic training on the use of the camera equipment and previously published photographic technique. 17 Instructions for camera operation and photographic technique were printed on a laminated card easily accessible to staff. A ''point and shoot camera'' was selected with settings on automatic to maximize the simplicity of the PD procedure.…”

Section: Interventionmentioning

confidence: 99%

Photodocumentation as an emergency department documentation tool in soft tissue infection: a randomized trial

Lund

Joo

Lewis

et al. 2013

CJEM

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Objectives: Current documentation methods for patients with skin and soft tissue infections receiving outpatient parenteral anti-infective therapy (OPAT) include written descriptions and drawings of the infection that may inadequately communicate clinical status. We undertook a study to determine whether photodocumentation (PD) improves the duration of outpatient treatment of skin and soft tissue infections. Methods: A single-blinded, prospective, randomized trial was conducted in the emergency departments of a community hospital and an academic tertiary centre. Participants included consecutive patients age $ 14 years presenting with noninvasive skin and soft tissue infections requiring OPAT. Patients in the intervention arm were treated with standard of care plus PD at each emergency physician assessment. Control subjects received care provided at the discretion of the treating physician and non-photographic documentation. The primary outcome was duration of therapy measured in half-days. The required sample size to detect a difference of one half-day was 253 patients per group (a 5 0.05). Secondary outcomes included (1) completion and therapeutic failure rates, (2) patient satisfaction, and (3) physician and nurse satisfaction. Results: Enrolment was slower and follow-up rates lower than anticipated, and the trial was terminated when funds were exhausted. A total of 468 subjects with similar age and gender characteristics were enrolled, with 244 receiving the intervention and 224 in the control arm. The mean OPAT duration was similar in the two groups (3.6 days v. 3.5 days, p 5 0.73). No differences in the rate for completion and therapeutic failure were observed (71% v. 68% and , 1% for both, respectively). Survey response rates varied significantly: patients, 65%; nurses, 17%; and physicians, 87%. Physicians endorsed more comfort with their assessment and OPAT judgment with PD (65% and 64%, respectively).Physicians cited too much time lost with technological challenges, which would affect implementation in a busy ED. Conclusions: PD as an intervention is acceptable to patients and has reasonable endorsement by the majority of physicians. This trial had significant limitations that threatened the integrity of the study, so the results are inconclusive. RÉ SUMÉObjectif: Les moyens actuels de documentation des infections de la peau et des tissus mous chez les patients soumis à un traitement anti-infectieux parenté ral ambulatoire (TAIPA) comprennent les descriptions é crites et les croquis des tissus infecté s, mais ces moyens peuvent ne pas rendre pleinement l'é tat clinique. Aussi avons-nous mené une é tude visant à dé terminer si la photodocumentation (PD) pouvait amé liorer la duré e du traitement des infections de la peau et des tissus mous chez les patients externes. Mé thode: Un essai prospectif, à ré partition alé atoire, et à simple insu a é té mené au service des urgences d'un hô pital communautaire et d'un centre hospitalier universitaire de soins tertiaires. Ont participé à l'essai des pati...

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Standardization of Wound Photography Using the Wound Electronic Medical Record

Cited by 56 publications

References 38 publications

Feasibility Study of Home Care Wound Management Using Telemedicine

Feasibility Study of Home Care Wound Management Using Telemedicine

A mHealth Application for Chronic Wound Care: Findings of a User Trial

Photodocumentation as an emergency department documentation tool in soft tissue infection: a randomized trial

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