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The Impact Of Implementing Evidence Standardized
Wound Assessment Tool
In Planning Quality Care For Patients With Wounds
A...
The Rationale Behind The Project:
The routine wound care team rounds done in the 600
bedded tertiary care center identifie...
Aim and Project Design:
Aim:
To improve the quality of care for patients with wounds
through implementing standardized wou...
Analysis Of Audit Data
1.A chart audit done in
selected units revealed the
following findings,
 262-charts of patients wi...
Process of implementation
Compliance
audit on WA
form done
every 2
months
Implementation
of
wound
assessment
and
Documenta...
Post –Project Audit
22%
76%
90% 88%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
PRE-AUDIT 1ST POST
AUDIT
2ND POST
AUDIT
4TH POS...
Sustainability Plan
 Chart audits were conducted once in 2months to monitor
the compliance.
The results of chart audits ...
Lessons Learnt
 There is a wide gap between the knowledge and
practice of nurses related to wound assessment and
document...
Acknowledgements
The successful implementation and continuous
surveillance of the project was made possible
only with the ...
References
1.Keast DH, Bowering CK, Evans AW, Mac Kean GL, Burrows C, D’SouzaL. MEASURE: a proposed
assessment framework f...
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EWMA 2013 - Ep546 - The impact of implementing evidence standardized wound assessment tool in planning of quality care for patients with wound

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Author: Mounia sabasse
Co Author: Shyarlin Ruba

Rashid Hospital. Dubai.UAE

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EWMA 2013 - Ep546 - The impact of implementing evidence standardized wound assessment tool in planning of quality care for patients with wound

  1. 1. 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
  2. 2. 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 undermining  This resulted in mismanaged wounds and delayed wound healing.
  3. 3. Aim and Project Design: Aim: To improve the quality of care for patients with wounds through implementing standardized wound assessment and documentation tool. Project Method:  FOCUS PDCA model.  Study design-Retrospective chart audit.  Root cause analysis identified –By clinical observation  Intervention planned through balance score cards.
  4. 4. Analysis Of Audit Data 1.A chart audit done in selected units revealed the following findings,  262-charts of patients with open wounds were audited  Only 22% charts had complete wound documentation  78% of charts had no wound documentation. PRE-AUDIT 22% 78% MET NOT MET
  5. 5. Process of implementation Compliance audit on WA form done every 2 months Implementation of wound assessment and Documentation form Developed instruction guide for wound assessment form
  6. 6. Post –Project Audit 22% 76% 90% 88% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% PRE-AUDIT 1ST POST AUDIT 2ND POST AUDIT 4TH POST AUDIT CHARTS WITH COMPLETE DOCUMENTATION PRE-AUDIT 1ST POST AUDIT 2ND POST AUDIT 4TH POST AUDIT
  7. 7. Sustainability Plan  Chart audits were conducted once in 2months to monitor the compliance. 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 practice change.
  8. 8. Lessons Learnt  There is a wide gap between the knowledge and practice of nurses related to wound assessment and documentation.  Structured ,standardized education is vital in improving the competence level of nurses related to wound assessment.  Simplified tools make nurses more compliant with regard to wound documentation.
  9. 9. Acknowledgements 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).
  10. 10. References 1.Keast DH, Bowering CK, Evans AW, Mac Kean GL, Burrows C, D’SouzaL. MEASURE: a proposed assessment framework for developing best practice recommendations for wound assessment. Wound Repair Regen. 2004;12(3):S1–S17. 2. Flanagan M. A practical framework for wound assessment 2: methods. Brit J Nur. 1997;6(1):6–11. 3. Russell L. The importance of wound documentation and classification. Brit J Nurs. 1999;8(20):1342–1354 4.Goldman RJ, Salcido R. More than one way to measure a wound: an overview of tools and techniques. Advances Skin Wound Care.2002;15(5):236–243. 5. Hess CT. The art of skin and wound care documentation. Home Health Nurse. 2005;23(8):502–513. 6. Cuzzell J. Wound assessment and evaluation: wound assessment guidelines. Dermatol Nurs. 2002;14(4):265–266. 7. Langemo D, Anderson J, Hanson D, Hunter S, Thompson P. Measuring wound length, width, and area: which technique. Advances Skin WoundCare. 2008;21(1):42–45. 8. Brown G. Wound documentation. Advances Skin Wound Care. 2006;19(3):155–165.

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