Wound Care Surveillance Manual, 2nd Edition 2016

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Wound Care
Surveillance
Manual
2nd Edition 2016
Infection Control Unit
Medical Care Quality Section
Medical Development Division
MINISTRY OF HEALTH
MALAYSIA

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Manual
Wound Care Surveillance
2nd
Edition 2016
Infection Control Unit
Ministry of Health

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TABLE OF CONTENTS
COMMITTEE MEMBERS................................................................................................................................... 3
BACKGROUND...................................................................................................................................................4
OBJECTIVE ......................................................................................................................................................... 5
METHODOLOGY ................................................................................................................................................6
DATA COLLECTION, COMPILATION AND REPORTING..........................................................................8
APPENDIX 1 .......................................................................................................................................................10
WOUND CHART (WC/MOH/2016/1) .............................................................................................................. 10
APPENDIX 2(A).................................................................................................................................................. 11
WOUND CARE ALGORITHM – WOUND ASSESSMENT................................................................................................. 11
APPENDIX 2(B)..................................................................................................................................................12
WOUND CARE ALGORITHM – RECOMMENDATION TREATMENT ..................................................................................12
APPENDIX 3 .......................................................................................................................................................14
WOUND CARE SURVEILLANCE DATABASE SECTION A (OUT-PATIENT) (WC/MOH/2016/2) ........................................... 14
APPENDIX 4 .......................................................................................................................................................15
WOUND CARE SURVEILLANCE DATABASE SECTION A (IN-PATIENT) (WC/MOH/2016/3) ...............................................15
APPENDIX 5 .......................................................................................................................................................16
WOUND CARE SURVEILLANCE DATABASE SECTION B - DRESSING (OUT-PATIENT) (WC/MOH/2016/4)........................... 16
WOUND CARE SURVEILLANCE DATABASE SECTION B - DRESSING (IN-PATIENT) (WC/MOH/2016/5) .............................. 16
APPENDIX 6 .......................................................................................................................................................17
WOUND CARE SURVEILLANCE DATABASE SECTION C - MATERIALS (OUT-PATIENT) (WC/MOH/2016/6)..........................17
WOUND CARE SURVEILLANCE DATABASE SECTION C - MATERIALS (IN-PATIENT) (WC/MOH/2016/7) .............................17
APPENDIX 7 .......................................................................................................................................................18
WOUND CARE SURVEILLANCE REPORTING FORM - SECTION A (OUT-PATIENT) (WC/MOH/2016/8)............................... 18
APPENDIX 8 .......................................................................................................................................................19
WOUND CARE SURVEILLANCE REPORTING FORM - SECTION A (IN-PATIENT) (WC/MOH/2016/9).................................. 19
APPENDIX 9 ......................................................................................................................................................20
WOUND CARE SURVEILLANCE REPORTING FORM SECTION A – TOTAL (WC/MOH/2016/12).......................................20
APPENDIX 10 .....................................................................................................................................................21
WOUND CARE SURVEILLANCE REPORTING FORM SECTION B - DRESSING (OUT-PATIENT) (WC/MOH/2016/10) ...............21
APPENDIX 11 .................................................................................................................................................... 22
WOUND CARE SURVEILLANCE REPORTING FORM SECTION B - DRESSING (IN-PATIENT) (WC/MOH/2016/11).................. 22
APPENDIX 12 .................................................................................................................................................... 23
WOUND CARE SURVEILLANCE REPORTING FORM SECTION B - TOTAL DRESSING (WC/MOH/2016/13)......................... 23
APPENDIX 13 ....................................................................................................................................................24
WOUND CARE SURVEILLANCE FLOW CHART.................................................................................................24
REFERENCE ..................................................................................................................................................... 25

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COMMITTEE MEMBERS
Mr Mohammad Anwar Hau Abdullah
Orthopaedic Senior Consultant
Hospital Raja Perempuan Zainab II
Mr Ahmad Faizal Abdullah
Orthopaedic Surgeon
Hospital Melaka
Dato’ Dr Mohamed Yusof Abdul Wahab
Senior Consultant & Head of Department
General Surgery
Hospital Tengku Ampuan Rahimah
Dr.Hanisah Arshad
Family Medicine Specialist
Klinik Kesihatan Bakri, Muar
Madam Normala Hj. Basiron
Senior Consultant & Head of Department
Plastic & Reconstructive Surgery
Hospital Kuala Lumpur
Dr. Hari Krishna K.R Nair
Head of Wound Care Unit
Medical Department
Hospital Kuala Lumpur
Dr.Khairiah Mohd Yatim
Consultant & Head of Department
Rehabilitation Medicine
Hospital Melaka
Dr. Suraya Amir Husin
Senior Principal Assistant Director
Mr Andre Das
Consultant & Head of Department
General Surgery
Hospital Kajang
Dr. Puteri Fajariah Megat Mohd Ghazali
Senior Principal Assistant Director
Mr Mohd. Zamzuri Mohd. Zain
Orthopaedic Consultant
Hospital Tengku Ampuan Afzan
Dr. Noraishah Md Rani
Head of Wound Care Unit
Hospital Putrajaya
Mr Haris Ali Chemok Ali
Orthopaedic Surgeon
Hospital Serdang
Dr. Affaf Azizan
Principal Assistant Director
Mr Zairuddin Abdullah Zawawi
Orthopaedic Surgeon
Hospital Kuala Krai
Dr. Nor Farah Bakhtiar
Principal Assistant Director

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BACKGROUND
Wound infection represent a silent epidemic that affects a large fraction of the world
population and poses major and gathering threat to the public health and economy.
For example, in the UK around 200,000 patients have a chronic wound. The cost to
the NHS of caring for patients with a chronic wound is conservatively estimated at
2.3 billion–3.1 billion per year (at 2005–2006 costs).
Wound infections are the most expensive complications following surgery and still
after many years are a major source of bacteria that drive the healthcare associated
infection rates.
Wound care management implicates multi-disciplinary care. The etiology and
pathology of the wound determine the management and treatment involved. The
prevention of wound infection should be a primary management objective for all
healthcare practitioners. Wounds that are not effectively monitored and detected can
cause significant financial and clinical concerns for providers. It claimed a significant
amount of healthcare allocation annually and the burden is growing rapidly due to
increasing health care costs, an aging population and a sharp rise in the incidence of
diabetes and obesity worldwide.
The importance of wound infections, in both economic and human terms, should not
be underestimated as wound management will not only involve the healthcare
system but also patient and carers. Education should also be given to patients and
carers to ensure continuity of the wound care.
The wound care surveillance initiative aims to provide health care practitioners with
an evidence-based system for the prediction, prevention and management of
wounds. It is also a useful tool for evaluation of the effectiveness of health care
services provided. Once established, this wound care surveillance system will
improve patient outcomes and healthcare cost. This will be achieved by reducing
preventable hospital-acquired wounds and improving the management and healing
rates of all wounds.

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OBJECTIVE
To provide systematic, standardized and high quality wound care in healthcare
facilities hence improving patient’s functional outcome and reducing healthcare cost.
Specific Objective:
To estimate the total burden of wound managed by wound care team in the
selected hospitals.
To determine the characteristic of wound ‐ types of wound, dressing
procedures and materials used.
To assess the outcome of wound care.
To provide a standardized tool for hospitals to identify targets for quality
improvement.

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METHODOLOGY
a) Design
It is a continuous surveillance involving all state hospitals, major and minor specialist
hospitals.
b) Population under surveillance
The population under surveillance is all in patients with complicated wound referred
to wound care team from various disciplines.
c) Definition
Wound
A wound is an injury to the integument or to the underlying structures; It is
visible result of individual cell death or damage; that may or may not result in
a loss of skin integrity whereby physiological function of the tissue is impaired
Ulcer
An interruption of continuity of an epithelial surface with an inflamed base. It is
usually a result of an underlying or internal etiology
d) Type of Wound
Traumatic Wound
A stressful event caused by either a mechanical or a chemical injury resulting
in tissue damage. Depending on its level, trauma can have serious short-term
and long-term consequences.
Diabetic Limb Ulcer
Diabetic limb ulcers are defined as:
i. neuropathic in the presence of peripheral diabetic neuropathy and
absence of ischemia;
ii. ischemic if the patient presents peripheral artery disease but no
diabetic peripheral neuropathy;
iii. neuroischemic if neuropathy and ischemia coexist.

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Surgical Wound
A clean cut with a sharp instrument which cuts or punctures the skin
deliberately during a surgical procedure. Acute surgical wounds normally
proceed through an orderly and timely reparative process resulting in
sustained restoration of anatomic and functional integrity. If an acute wound
fails to heal within six weeks, it can become a chronic wound.
Pressure Sore
A localised injury to the skin and/or underlying tissue usually over a bony
prominence, as a result of pressure, shear and/or friction, or a combination of
these factors.
Burns
Injuries to tissues caused by heat, friction, electricity, radiation, or chemicals.
Burns may be caused by even a brief encounter with heat greater than 120°F
(49°C). The source of this heat may be the sun, hot liquids, steam, fire,
electricity, friction (causing rug burns and rope burns), and chemicals (causing
a caustic burn upon contact).
DEFINITION DATE OF DISCHARGE
Cases will be discharged from wound care team when the wound condition is
suitable or satisfactory to be managed by primary department or primary care.
Cases with following conditions should be labelled as NA (Not Applicable):
• Died
• Not Discharge Yet
• Amputation
• At Own Risk (AOR)
• Transfer Out to Other Hospital
• Transfer Out to Out-Patient / In-Patient
• Consultation
• Defaulted
Consultation: patient was seen by wound care team and discharged on the
same day / no procedure done by wound care team.
Defaulted: Patient defaulted follow-up for 1 month or more.
Case which has discharge date should be labelled as NOT RELEVANT.

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DATA COLLECTION, COMPILATION AND REPORTING
Wound Care Personnel shall asses every patient referred to Wound Care
Team and record the data into Wound Chart (WC/MOH/2016/1) as in
Appendix 1.
The Wound Care Personnel should categorize the wound according to Wound
Care Algorithm as in Appendix 2(a) and manage the patient based on
recommendation as shown in Appendix 2(b).
The Wound Care Personnel then encodes the data into Wound Care
Surveillance Database Section A [Out-patient], (WC/MOH/2016/2) and
Wound Care Surveillance Database Section A [In-patient],
(WC/MOH/2016/3) as shown in Appendix 3 and 4.
For dressing procedures, Wound Care Personnel should record the data into
the Wound Care Surveillance Database Section B - Dressing [Out-
patient], (WC/MOH/2016/4) and Wound Care Surveillance Database
Section B - Dressing [In-patient], (WC/MOH/2016/5). Refer to Appendix 5.
Meanwhile for materials consumption during the dressing procedures, Wound
Care Personnel should record the data into Wound Care Surveillance
Database Section C - Materials [Out-patient], (WC/MOH/2016/6) and
Wound Care Surveillance Database Section C - Materials [In-patient],
(WC/MOH/2016/7). Refer to Appendix 6.
Surveillance data from Wound Care Surveillance Database Section A [Out-
patient] and Wound Care Surveillance Database Section A [In-patient] for
January to June shall be sorted and tabulated into the Wound Care
Surveillance Reporting Form – Section A [Out-patient] (WC/MOH/2016/8),
Wound Care Surveillance Reporting Form – Section A [In-patient]
(WC/MOH/2016/9) and Wound Care Surveillance Reporting Form –
Section A [TOTAL] (WC/MOH/2016/12) respectively. Refer to Appendix 7, 8
and 9.
Data from dressings surveillance for In-patient & Out-patient (January to
June) shall be sorted and tabulated into the Wound Care Surveillance
Reporting Form - Section B [Out-patient Dressing] (WC/MOH/2016/10),
Wound Care Surveillance Reporting Form - Section B [In-patient
Dressing] (WC/MOH/2016/11) and Wound Care Surveillance Reporting
Form - Section B [TOTAL DRESSING] (WC/MOH/2016/13). Refer Appendix
10, 11 and 12.
For the Annual Report, the whole year registry data (January to December)
for both Section A and Section B shall be sorted and tabulated into the
Wound Care Surveillance Reporting Form - Section A and Section B
respectively.

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The Wound Care Personnel shall keep the database (Wound Registry) at the
hospital. Do not send to MOH.
The reporting forms along with the performance graphs should be submitted
to Infection Control Unit, Medical Care Quality Section, Medical Development
Division, Malaysia Ministry of Health, Putrajaya.
The flow chart for Wound Care Surveillance is shown in Appendix 13.

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APPENDIX 1
Wound Chart
(WC/MOH/2016/1)
Name: Centre:
IC/RN: Site:
Age: Type:
Gender: MALE / FEMALE Wound Category:
*Refer wound algorithm
* Wound Care Algorithm as in Appendix 2(a) and 2(b).
DATE
SIZE
T – Tissue
( % of slough/
necrotic tissue)
I- INFECTION
(presence of
infection)
M-MOISTURE
(presence of
exudates)
DRESSING
SOLUTION
DRESSING
MATERIAL
REMARKS
LENGTH WIDTH DEPTH <25% >25% YES NO DRY WET

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APPENDIX 2(a)
Wound Care Algorithm – Wound Assessment
1 2 3 4 5 6 7 8
Wound Assessment
WOUND
>25%<25%
WOUND
INFECTION YesNoYesNo
WOUND
TYPE
Moderate/
wet
MOISTURE/
EXUDATE
Dry/
minimal
Dry/
minimal
TISSUE
NECROSIS/
SLOUGH
Dry/
minimal
Moderate/
wet
Moderate/
wet
Moderate/
wet
Dry/
minimal

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APPENDIX 2(b)
Wound Care Algorithm – Recommendation Treatment
Treatment recommendation based on the flow chart of Wound Care Algorithm:
WOUND
TYPE
Wound
description
Dressing material
suggested/recommended
(refer to chapter on
dressing materials)
Antibiotic
Surgical procedure
suggested/
recommended
1 Clean, healthy
granulating
wound
All types of dressing
material except, silver,
charcoal and special
advanced dressing
materials.
No 1. Ready for secondary wound
closure
2. If the wound is small,
continue dressing till the
wound heals by secondary
intention
3. Frequency of wound
dressing varies depending
on type of wound and also
dressing material used
2 Clean and wet
wound
1. Foam
2. Alginate
3. Hydrofiber
4. Polymeric membrane
May or
may not,
based on
the
underlying
cause.
1. Find underlying cause
2. Treat underlying cause if
necessary
3 Dry, infected
wound with <
25%
slough/necrotic
tissue (most
likely vascular
in origin)
1. Tulle
2. Hydrogel
3. Hydrocolloid
4. Silver dressing
5. Iodine base dressing
Yes, based
on C&S
report of
infected
tissue
1. Debridement may be
needed
4 Wet, infected
wound with <
25%
slough/necrotic
tissue
1. Alginate
2. Foam
3. Silver
4. Hydrofiber
Yes, based
on C&S
report of
infected
tissue
1. Debridement may be
needed.
5 Dry, non-
infected wound
with >25%
slough/necrotic
tissue
1. Hydrogel
2. Hydrocolloid
No 1. Debridement is needed
6 Wet, non-
infected wound
with > 25%
slough/necrotic
tissue
1. Alginate
2. Foam
4. Hydrofiber
May or
may not,
based on
the
underlying
cause.
1. Surgical/mechanical
debridement is
recommended.
2. May need repeated
debridement.

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7 Dry, infected
wound with >
25%
slough/necrotic
tissue
1. Silver dressing
2. Hydrogel
3. Hydrocolloid
Yes, based
on C&S
report of
infected
tissue
debridement is strongly
recommended.
8 Wet, infected
wound with >
25%
slough/necrotic
tissue
1. Alginate
2. Silver dressing
3. Hydrofiber
4. Foam
6. charcoal
Yes, based
on C&S
report of
infected
tissue
debridement is strongly
recommended.
2. May need repeated
debridement

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APPENDIX 3
Wound Care Surveillance Database Section A (Out-patient)
(WC/MOH/2016/2)
WOUND REGISTRY (WOUND CARE TEAM)
HOSPITAL:___________________________
No. Name
IC/Passport
Number
Date of First
Consultation
Month Diabetic
Status
Diagnosis
(Type of
Wound)
Site of
Wound
Size of Wound
(lengthXwidth)
cm²
Wound
Size
Group
(cm²)
Referring
Department
Duration of
Wound
Before
Referral
Date of
Discharge
from WC
Team
Specify the
cause if
NOT
APPLICABLE
(NA)
Cause Of
Death:
Attributable
to Wound
Infection
Time
Taken to
Achieve
Outcome
(in days)
Time Taken
to Achieve
Outcome
(in weeks)
1 NA 0 NA
2 NA 0 NA
3 NA 0 NA
4 NA 0 NA
5 NA 0 NA
6 NA 0 NA
7 NA 0 NA
8 NA 0 NA
9 NA 0 NA
10 NA 0 NA

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APPENDIX 4
Wound Care Surveillance Database Section A (In-patient)
(WC/MOH/2016/3)
HOSPITAL: ___________________________
No. Name
IC/Passport
Number
Date of First
Consultation
Month Diabetic
Status
Diagnosis
(Type of
Wound)
Site of
Wound
Size of Wound
(lengthXwidth)
cm²
Wound
Size
Group
(cm²)
Referring
Department
Duration of
Wound
Before
Referral
Date of
Discharge
from WC
Team
Specify the
cause if
NOT
APPLICABLE
(NA)
Cause Of
Death:
Attributable
to Wound
Infection
Time
Taken to
Achieve
Outcome
(in days)
Time Taken
to Achieve
Outcome
(in weeks)
1 NA 0 NA
2 NA 0 NA
3 NA 0 NA
4 NA 0 NA
5 NA 0 NA
6 NA 0 NA
7 NA 0 NA
8 NA 0 NA
9 NA 0 NA
10 NA 0 NA

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APPENDIX 5
Wound Care Surveillance Database Section B - Dressing (Out-patient)
(WC/MOH/2016/4)
HOSPITAL: ___________________________
No. Name IC / Passport No. Date of Dressing Procedure Month
Referring Department
(Source of Referral)
Diagnosis (Type of Wound)
1
2
3
4
5
6
Wound Care Surveillance Database Section B - Dressing (In-patient)
(WC/MOH/2016/5)
HOSPITAL: ___________________________
No. Name IC / Passport No. Date of Dressing Procedure Month
Referring Department
(Source of Referral)
Diagnosis (Type of Wound)
1
2
3
4
5
6

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APPENDIX 6
Wound Care Surveillance Database Section C - Materials (Out-patient)
(WC/MOH/2016/6)
HOSPITAL: ___________________________
DRESSING (for hospital WC team use)
No. Date of Dressing Procedure Month Material/Solution Quantity
1
2
3
4
5
6
Wound Care Surveillance Database Section C - Materials (In-patient)
(WC/MOH/2016/7)
HOSPITAL: ___________________________
DRESSING (for hospital WC team use)
No. Date of Dressing Procedure Month Material/Solution Quantity
1
2
3
4
5
6

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APPENDIX 7
Wound Care Surveillance Reporting Form - Section A (Out-patient)
(WC/MOH/2016/8)
HOSPITAL
SURVEILLANCE PERIOD
Total no.of wound cases referred to wound care team
Total no. patients with wound referred to wound care
team
Total no. of out-patient attendance (for the whole
hospital)
Percentage of wound care referral (%)
Month No. of Cases Percentage
Jan #DIV/0!
Feb #DIV/0!
March #DIV/0!
Apr #DIV/0!
May #DIV/0!
June #DIV/0!
July #DIV/0!
Aug #DIV/0!
Sept #DIV/0!
Oct #DIV/0!
Nov #DIV/0!
Dec #DIV/0!
Total No. of Cases 0 #DIV/0!
Diabetic Status No. of Cases Percentage
Yes #DIV/0!
No #DIV/0!
Diagnosis (Type of Wound) No. of Cases Percentage
Traumatic wound #DIV/0!
Diabetic limb ulcer #DIV/0!
Surgical wound #DIV/0!
Pressure sore #DIV/0!
Burns #DIV/0!
Others #DIV/0!
Wound Size Group (cm²) No. of Cases Percentage
NA #DIV/0!
1-10 cm² #DIV/0!
11-20 cm² #DIV/0!
21-30 cm² #DIV/0!
31-40 cm² #DIV/0!
41-50 cm² #DIV/0!
>50 cm² #DIV/0!
Department (Source of referral) No. of Cases Percentage
Surgical #DIV/0!
Orthopaedic #DIV/0!
Medical #DIV/0!
Paediatric #DIV/0!
O&G #DIV/0!
A&E #DIV/0!
Primary Care #DIV/0!
Others #DIV/0!
Duration of Wound Before Referral No. of Cases Percentage
1 week #DIV/0!
2 weeks #DIV/0!
3 weeks #DIV/0!
4-8 weeks #DIV/0!
9-12 weeks #DIV/0!
13-16 weeks #DIV/0!
17-20 weeks #DIV/0!
>20 weeks #DIV/0!
Time Taken to Achieve Outcome No. of Cases Percentage
<2 weeks #DIV/0!
3 weeks #DIV/0!
4-8 weeks #DIV/0!
9-12 weeks #DIV/0!
13-16 weeks #DIV/0!
17-20 weeks #DIV/0!
>20 weeks #DIV/0!
Causes of No Outcome Data (NA-Not Applicable) No. of Cases Percentage
Died #DIV/0!
Amputation #DIV/0!
AOR Discharge #DIV/0!
T/O to Other Hospital #DIV/0!
T/O to In-patient #DIV/0!
Not Discharge Yet #DIV/0!
Consultation #DIV/0!
Defaulted #DIV/0!
Cause Of Death: Attributable to Wound Infection No. of Cases Percentage
Yes #DIV/0!
No #DIV/0!
Reported by:
Date:______________________________________ Date:___________________________________
Signature: ___________________________________ Signature: _________________________________
Name and Designation:________________________ Name and Designation: ______________________
Verified by:
#DIV/0!

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APPENDIX 8
Wound Care Surveillance Reporting Form - Section A (In-patient)
(WC/MOH/2016/9)
HOSPITAL
SURVEILLANCE PERIOD
Total no. patients with wound referred to wound care team
Total no. of hospital admission
Month No. of Cases Percentage
Jan #DIV/0!
Feb #DIV/0!
March #DIV/0!
Apr #DIV/0!
May #DIV/0!
June #DIV/0!
July #DIV/0!
Aug #DIV/0!
Sept #DIV/0!
Oct #DIV/0!
Nov #DIV/0!
Dec #DIV/0!
Diabetic Status No. of Cases Percentage
Yes #DIV/0!
No #DIV/0!
Diagnosis (Type of Wound) No. of Cases Percentage
Burns #DIV/0!
Others #DIV/0!
Wound Size Group (cm²) No. of Cases Percentage
NA #DIV/0!
1-10 cm² #DIV/0!
11-20 cm² #DIV/0!
21-30 cm² #DIV/0!
31-40 cm² #DIV/0!
41-50 cm² #DIV/0!
>50 cm² #DIV/0!
Department (Source of referral) No. of Cases Percentage
Surgical #DIV/0!
Orthopaedic #DIV/0!
Medical #DIV/0!
Paediatric #DIV/0!
O&G #DIV/0!
Others #DIV/0!
Duration of Wound Before Referral No. of Cases Percentage
1 week #DIV/0!
2 weeks #DIV/0!
3 weeks #DIV/0!
4-8 weeks #DIV/0!
9-12 weeks #DIV/0!
13-16 weeks #DIV/0!
17-20 weeks #DIV/0!
>20 weeks #DIV/0!
Time Taken to Achieve Outcome No. of Cases Percentage
<2 weeks #DIV/0!
3 weeks #DIV/0!
4-8 weeks #DIV/0!
9-12 weeks #DIV/0!
13-16 weeks #DIV/0!
17-20 weeks #DIV/0!
>20 weeks #DIV/0!
Causes of No Outcome Data (NA-Not Applicable) No. of Cases Percentage
Died #DIV/0!
Amputation #DIV/0!
AOR Discharge #DIV/0!
T/O to Other Hospital #DIV/0!
T/O to Out-patient #DIV/0!
Not Discharge Yet #DIV/0!
Consultation #DIV/0!
Defaulted #DIV/0!
Cause Of Death: Attributable to Wound Infection No. of Cases Percentage
Yes #DIV/0!
No #DIV/0!
Reported by:
Date:______________________________________ Date:___________________________________
Verified by:
#DIV/0!

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APPENDIX 9
Wound Care Surveillance Reporting Form Section A - TOTAL
(WC/MOH/2016/12)
HOSPITAL
SURVEILLANCE PERIOD
Total no. patients with wound referred to wound care team
Total no. of out-patient / in-patient attendance
Month No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Jan 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Feb 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
March 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Apr 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
May 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
June 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
July 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Aug 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Sept 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Oct 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Nov 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Dec 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Total No. of Cases 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Diabetic Status No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Yes 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
No 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Diagnosis (Type of Wound) No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Traumatic wound 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Diabetic limb ulcer 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Surgical wound 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Pressure sore 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Burns 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Others 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Wound Size Group (cm²) No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
NA 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
1-10 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
11-20 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
21-30 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
31-40 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
41-50 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
>50 cm² 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Department (Source of referral) No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Surgical 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Orthopaedic 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Medical 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Paediatric 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
O&G 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
A&E 0 #DIV/0! 0 #DIV/0!
Primary Care 0 #DIV/0! 0 #DIV/0!
Duration of Wound Before Referral No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
1 week 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
2 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
3 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
4-8 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
9-12 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
13-16 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
17-20 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
>20 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Time Taken to Achieve Outcome No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
<2 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
3 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
4-8 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
9-12 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
13-16 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
17-20 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
>20 weeks 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Causes of No Outcome Data (NA-Not Applicable) No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Died 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Amputation 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
AOR Discharge 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
T/O to Other Hospital 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
T/O to In-patient / Out-patient 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Not Discharge Yet 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Consultation 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Defaulted 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Cause Of Death: Attributable to Wound Infection No. of Cases Percentage No. of Cases Percentage No. of Cases Percentage
Yes 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
No 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Reported by:
Date:______________________________________ Date:___________________________________
OUT-PATIENT IN-PATIENT TOTAL
0
0
0
#DIV/0!
Verified by:
#DIV/0! #DIV/0!

21 | P a g e
APPENDIX 10
Wound Care Surveillance Reporting Form Section B - Dressing (Out-patient)
(WC/MOH/2016/10)
HOSPITAL
SURVEILLANCE PERIOD
Total no. of dressings performed
Department (Source of referral) No. of Dressing Percentage
Surgical #DIV/0!
Orthopaedic #DIV/0!
Medical #DIV/0!
Paediatric #DIV/0!
O&G #DIV/0!
A&E #DIV/0!
Primary Care #DIV/0!
Others #DIV/0!
Total No. of Dressing 0 #DIV/0!
Month No. of Dressing Percentage
Jan #DIV/0!
Feb #DIV/0!
March #DIV/0!
Apr #DIV/0!
May #DIV/0!
June #DIV/0!
July #DIV/0!
Aug #DIV/0!
Sept #DIV/0!
Oct #DIV/0!
Nov #DIV/0!
Dec #DIV/0!
Total No. of Patients 0 #DIV/0!
Diagnosis (Type of wound) No. of Dressing Percentage
Burns #DIV/0!
Others #DIV/0!
Reported by: Verified by:
Signature: _________________________ Signature: ___________________________
Name and Designation:_______________ Name and Designation: _________________
Date:______________________________ Date:________________________________

22 | P a g e
APPENDIX 11
Wound Care Surveillance Reporting Form Section B - Dressing (In-patient)
(WC/MOH/2016/11)
HOSPITAL
SURVEILLANCE PERIOD
Department (Source of referral) No. of Dressing Percentage
Surgical #DIV/0!
Orthopaedic #DIV/0!
Medical #DIV/0!
Paediatric #DIV/0!
O&G #DIV/0!
Others #DIV/0!
Month No. of Dressing Percentage
Jan #DIV/0!
Feb #DIV/0!
March #DIV/0!
Apr #DIV/0!
May #DIV/0!
June #DIV/0!
July #DIV/0!
Aug #DIV/0!
Sept #DIV/0!
Oct #DIV/0!
Nov #DIV/0!
Dec #DIV/0!
Total No. of Patients 0 #DIV/0!
Diagnosis (Type of wound) No. of Dressing Percentage
Burns #DIV/0!
Others #DIV/0!
Reported by:
Signature: ________________________ Signature: _______________________________
Name and Designation:______________ Name and Designation: _____________________
Date:____________________________ Date:___________________________________
Verified by:

23 | P a g e
APPENDIX 12
Wound Care Surveillance Reporting Form Section B - TOTAL Dressing
(WC/MOH/2016/13)
HOSPITAL
SURVEILLANCE PERIOD
Department (Source of referral) No. of Dressing Percentage No. of Dressing Percentage No. of Dressing Percentage
Surgical 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Orthopaedic 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Medical 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Paediatric 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
O&G 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
A&E 0 #DIV/0! 0 #DIV/0!
Primary Care 0 #DIV/0! 0 #DIV/0!
Total No. of Dressing 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Month No. of Dressing Percentage No. of Dressing Percentage No. of Dressing Percentage
Jan 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Feb 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
March 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Apr 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
May 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
June 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
July 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Aug 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Sept 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Oct 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Nov 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Dec 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Total No. of Patients 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Diagnosis (Type of wound) No. of Dressing Percentage No. of Dressing Percentage No. of Dressing Percentage
Traumatic wound 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Diabetic limb ulcer 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Surgical wound 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Pressure sore 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Burns 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Total No. of Dressing 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!
Reported by:
Signature: ________________________ Signature: _______________________________
Name and Designation:______________ Name and Designation: _____________________
Date:____________________________ Date:___________________________________
0
TOTALIN-PATIENTOUT-PATIENT
Verified by:

24 | P a g e
APPENDIX 13
WOUND CARE SURVEILLANCE FLOW CHART
Received referral for wound care management
Assess patient and categorize the wound
Record data into Wound Chart
Sort and tabulate Jan-June data from
Wound Care Surveillance Database
Section A and B into Wound Care
Surveillance Reporting Form - Section
A and B
Encode the data into Wound Care
Surveillance Database Section A and B
ANNUAL REPORT
Submit reporting forms to Infection
Control Unit, Medical Care Quality
Section, Medical Development
Division, MOH
MID-YEAR REPORT
Data Management by
Infection Control Unit, MOH
Sort and tabulate Jan-Dec data from
Wound Care Surveillance Database
Section A and B into Wound Care
Surveillance Reporting Form - Section
A and B

25 | P a g e
REFERENCE
Wound Care Manual, Ministry of Health Malaysia, 1st
Edition, 2014
Human Skin Wounds: A Major and Snowballing Threat to Public Health and
the Economy. (Chandan K. Sen, PhD,1 Gayle M. Gordillo, MD,1 Sashwati
Roy, PhD,1 Robert Kirsner, MD,2 Lynn Lambert, CHT,1,3 Thomas K. Hunt,
MD,4 Finn Gottrup, MD,5 Geoffrey C Gurtner, MD,6 and Michael T. Longaker,
MD6., 2009)
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2810192/
(J., The Burden of Chronic Wounds in the UK, 2008)
http://www.nursingtimes.net/nursing-practice/specialisms/wound-care/the-
burden-of-chronic-wounds-in-the-uk/527138.article
(Clinical Guidelines Nursing Wound Care). The Royal Children Hospital
Melbourne
http://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_care

Wound Care Surveillance Manual, 2nd Edition 2016

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