EWMA 2013 - Ep546 - The impact of implementing evidence standardized wound assessment tool in planning of quality care for patients with wound
The Impact Of Implementing Evidence Standardized
Wound Assessment Tool
In Planning Quality Care For Patients With Wounds
Author: Mounia sabasse
Co Author: Shyarlin Ruba
Rashid Hospital. Dubai.UAE
The Rationale Behind The Project:
The routine wound care team rounds done in the 600
bedded tertiary care center identified,
A deficiency in wound assessment and documentation.
The tunneled and cavity wound were not properly
packed with the dressings.
There was no evidence documented that an wound
assessment was carried out prior dressing of the wound.
Most of the staffs were not able to identify a tunnel or
This resulted in mismanaged wounds and delayed
Aim and Project Design:
To improve the quality of care for patients with wounds
through implementing standardized wound assessment
and documentation tool.
FOCUS PDCA model.
Study design-Retrospective chart audit.
Root cause analysis identified –By clinical observation
Intervention planned through balance score cards.
Analysis Of Audit Data
1.A chart audit done in
selected units revealed the
262-charts of patients with
open wounds were audited
Only 22% charts had
78% of charts had no
Process of implementation
audit on WA
Post –Project Audit
PRE-AUDIT 1ST POST
CHARTS WITH COMPLETE DOCUMENTATION
1ST POST AUDIT
2ND POST AUDIT
4TH POST AUDIT
Chart audits were conducted once in 2months to monitor
The results of chart audits communicated to all unit in
charges in the hospital on a regular basis.
A specified day was identified for measurement of
wounds per week (Measurement Monday).
Surprise clinical rounds were done to observe the
There is a wide gap between the knowledge and
practice of nurses related to wound assessment and
Structured ,standardized education is vital in improving
the competence level of nurses related to wound
Simplified tools make nurses more compliant with
regard to wound documentation.
The successful implementation and continuous
surveillance of the project was made possible
only with the help of 40 Wound care link
nurses ( each per unit).
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