Development of a generic wound care assessment minimum data set
Development of a generic wound care assessment minimum data set
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DOI：
10.1016/j.jtv.2017.09.007
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发表时间：
2017-11-01
影响因子：
2.5
通讯作者：
Nixon, Jane
中科院分区：
文献类型：
--
作者：
Coleman, Susanne;Nelson, E. Andrea;Nixon, Jane
背景资料：目前，英国没有建立通用伤口评估的国家最低数据集（MDS），这导致全国范围内缺乏标准化和可变的评估标准。这阻碍了伤口愈合过程和治疗的质量和监测。目的：建立一个通用的伤口评估MDS以支持临床实践。方法：该项目包括：1）文献综述，以提供伤口评估最佳实践的概述，并确定纳入MDS的潜在评估标准; 2）使用适应性研发/加州大学洛杉矶分校的方法。这包括专家在伤口护理领域考虑的证据，文献综述和他们的经验，同意评估标准包括在MDS.Results：文献综述确定了24篇论文，其中包含的标准，可能被认为是通用伤口评估的一部分。从这些文件68潜在的评估项目被确定和专家组同意，37（有关一般健康信息，基线伤口信息，伤口评估参数，伤口症状和专家）应包括在MDS.Discussion：使用结构化的方法，我们已经开发了一个通用的伤口评估MDS支持伤口评估文件和实践。预计MDS将促进通用伤口评估实践的更一致方法，并支持护理提供者和专员开发和重新调整促进伤口护理改善的服务。(C)2017作者由Elsevier Ltd代表Tissue Viability Society发布。
Background: At present there is no established national minimum data set (MDS) for generic wound assessment in England, which has led to a lack of standardisation and variable assessment criteria being used across the country. This hampers the quality and monitoring of wound healing progress and treatment.Aim: To establish a generic wound assessment MDS to underpin clinical practice.Method: The project comprised 1) a literature review to provide an overview of wound assessment best practice and identify potential assessment criteria for inclusion in the MDS and 2) a structured consensus study using an adapted Research and Development/University of California at Los Angeles Appropriateness method. This incorporated experts in the wound care field considering the evidence of a literature review and their experience to agree the assessment criteria to be included in the MDS.Results: The literature review identified 24 papers that contained criteria which might be considered as part of generic wound assessment. From these papers 68 potential assessment items were identified and the expert group agreed that 37 (relating to general health information, baseline wound information, wound assessment parameters, wound symptoms and specialists) should be included in the MDS.Discussion: Using a structured approach we have developed a generic wound assessment MDS to underpin wound assessment documentation and practice. It is anticipated that the MDS will facilitate a more consistent approach to generic wound assessment practice and support providers and commissioners of care to develop and re-focus services that promote improvements in wound care. (C) 2017 The Authors. Published by Elsevier Ltd on behalf of Tissue Viability Society.