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Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID-19 pandemic.
Barakat-Johnson, Michelle; Jones, Aaron; Burger, Mitch; Leong, Thomas; Frotjold, Astrid; Randall, Sue; Kim, Bora; Fethney, Judith; Coyer, Fiona.
  • Barakat-Johnson M; Department of Nursing and Midwifery Executive Services, Sydney Local Health District (SLHD), Sydney, New South Wales, Australia.
  • Jones A; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Burger M; School of Nursing, Faculty of Health, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.
  • Leong T; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Frotjold A; Health Informatics Unit, Sydney Local Health District (SLHD), Sydney, New South Wales, Australia.
  • Randall S; Information Communication Technology, Strategy Architecture and Innovation, SLHD, Sydney, New South Wales, Australia.
  • Kim B; Health Informatics Unit, Sydney Local Health District (SLHD), Sydney, New South Wales, Australia.
  • Fethney J; Information Communication Technology, Strategy Architecture and Innovation, SLHD, Sydney, New South Wales, Australia.
  • Coyer F; Discipline of Biomedical informatics and Digital Health, University of Sydney, Sydney, New South Wales, Australia.
Int Wound J ; 19(6): 1561-1577, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1714203
ABSTRACT
Wound documentation is integral to effective wound care, health data coding and facilitating continuity of care. This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician-and-patient user perspective. A quasi-experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard group (n = 166, 243 wounds) and intervention group (n = 124, 184 wounds), at baseline and post-intervention. Clinicians participated in a survey (n = 10) and focus group interviews (n = 13) and patients were interviewed (n = 4). Wound documentation data were analysed descriptively, and bivariate statistics were used to determine between-group differences. Thematic analysis of interviews was conducted. Compared with the standard group, wound documentation in the intervention group improved significantly (more than two items documented 24% vs 70%, P < .001). During the intervention, 101 out of 132 wounds improved (mean wound size reduction = 53.99%). Positive evaluations identified improvements such as instantaneous objective wound assessment, shared wound plans, increased patient adherence and enhanced efficiency in providing virtual care. The use of the application facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mobile Applications / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Oceania Language: English Journal: Int Wound J Year: 2022 Document Type: Article Affiliation country: Iwj.13755

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mobile Applications / COVID-19 Type of study: Experimental Studies / Observational study / Qualitative research Limits: Humans Country/Region as subject: Oceania Language: English Journal: Int Wound J Year: 2022 Document Type: Article Affiliation country: Iwj.13755