Suboptimal identification of patient-specific risk factors for poor wound healing can be improved by simple interventions (Record no. 76156)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02880cam a2200193 4500 |
| 001 - CONTROL NUMBER | |
| control field | NMDX7167 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 120401t2017 xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Harris, L.S. |
| 240 ## - UNIFORM TITLE | |
| Uniform title | <a href="International Wound Journal">International Wound Journal</a> |
| 245 ## - TITLE STATEMENT | |
| Title | Suboptimal identification of patient-specific risk factors for poor wound healing can be improved by simple interventions |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) | |
| Date of publication, distribution, etc. | 2017 |
| 500 ## - GENERAL NOTE | |
| General note | NMUH Staff Publications |
| 500 ## - GENERAL NOTE | |
| General note | 14 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <span style="font-size: 10pt;">Poor&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">wound healing</span>&nbsp;is an important surgical complication. At-risk wounds must be identified early and monitored appropriately.&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">Wound</span>&nbsp;surveillance is frequently inadequate, leading to increased rates of surgical site infections (SSIs). Although the literature demonstrates that risk factor identification reduces SSI rates, no studies have focused on&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">wound</span>&nbsp;management at a junior level. Our study assesses documentation rates of patient-specific risk factors for poor&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">wound healing</span>&nbsp;at a large district general hospital in the UK. It critically evaluates the efficacy of interventions designed to promote surveillance of high-risk wounds. We conducted a full-cycle clinical audit examining medical records of patients undergoing elective surgery over 5 days. Interventions included education of the multidisciplinary team and addition of a&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">Wound Healing</span>&nbsp;Risk Assessment (WHRA) checklist to surgical admissions booklets. This checklist provided a simple stratification tool for at-risk wounds and recommendations for escalation. Prior to interventions, the documentation of patient-specific risk factors ranged from 0·0% to 91·7% (mean 42·6%). Following interventions, this increased to 86·4-95·5% (mean 92·5%), a statistically significant increase of 117·1% (P &lt; 0·01). This study demonstrates that documentation of patient-specific risk factors for poor&nbsp;<span class="highlight" style="font-family: arial, helvetica, clean, sans-serif;">wound healing</span>&nbsp;is inadequate. We have shown the benefit of introducing interventions to increase risk factor awareness.</span> |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Luck, J.E. |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Atherton, R.R. |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://www.ncbi.nlm.nih.gov/pubmed/27000636">https://www.ncbi.nlm.nih.gov/pubmed/27000636</a> |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://onlinelibrary.wiley.com/doi/10.1111/iwj.12573/epdf">http://onlinelibrary.wiley.com/doi/10.1111/iwj.12573/epdf</a> |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection code | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Staff publications for NMDX | Ferriman information and Library Service (North Middlesex) | Ferriman information and Library Service (North Middlesex) | Shelves | 07/06/2022 | 07/06/2022 | 07/06/2022 | Book |