Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID-19 pandemic

被引:28
作者
Barakat-Johnson, Michelle [1 ,2 ,3 ]
Jones, Aaron [2 ,4 ,5 ]
Burger, Mitch [4 ,5 ,6 ,7 ]
Leong, Thomas [8 ]
Frotjold, Astrid [2 ]
Randall, Sue [2 ]
Fethney, Judith [2 ]
Coyer, Fiona [9 ,10 ,11 ]
机构
[1] Sydney Local Hlth Dist SLHD, Dept Nursing & Midwifery Execut Serv, Sydney, NSW, Australia
[2] Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
[3] Queensland Univ Technol QUT, Fac Hlth, Sch Nursing, Brisbane, Qld, Australia
[4] Sydney Local Hlth Dist SLHD, Hlth Informat Unit, Sydney, NSW, Australia
[5] SLHD, Informat Commun Technol Strategy Architecture & I, Sydney, NSW, Australia
[6] Univ Sydney, Discipline Biomed Informat & Digital Hlth, Sydney, NSW, Australia
[7] Univ New South Wales, Sch Populat Hlth, Sydney, NSW, Australia
[8] Royal Prince Alfred Hosp, Nursing & Midwifery Serv, Sydney Local Hlth Dist, Sydney, NSW, Australia
[9] Royal Brisbane & Womens Hosp, Intens Care Serv, Brisbane, Qld, Australia
[10] Queensland Univ Technol QUT, Ctr Healthcare Transformat, Brisbane, Qld, Australia
[11] Univ Huddersfield, Inst Skin Integr & Infect Prevent, Huddersfield, W Yorkshire, England
关键词
artificial intelligence; digital application; documentation; wound; wound care; DOCUMENTATION; CALL;
D O I
10.1111/iwj.13755
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
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.
引用
收藏
页码:1561 / 1577
页数:17
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