title: Outcome assessment of an in-hospital cross-functional wound care team.
abstract: A multidisciplinary wound care team was developed at the Medical College of Pennsylvania Hospital in 1993 to standardize wound management, appropriately allocate resources, prevent the occurrence of hospital-acquired decubitus ulcers, and effectively manage existing pressure ulcers. This report presents 4 years of prevalence survey data (n = 690 patients over 4 years), which affords an outcome analysis regarding the efficacy of the multidisciplinary wound care team. A significant reduction in the number of patients with pressure ulcers, hospital acquired pressure ulcers, and patients with hospital acquired ulcers occurred. There was, also, a significant improvement in skin integrity documentation, and in the implementation of nutritional assessments. These findings suggest that the multidisciplinary wound care team has been an effective means of gaining some control of decubitus ulcers, which are associated with increased patient morbidity and have an adverse economic impact on hospitals.
authors.affiliation: Allegheny University Hospitals, Medical College of Pennsylvania, Hahnemann School of Medicine, Allegheny University of the Health Sciences, Philadelphia, PA, USA.
authors.forename: M S
authors.initials: MS
authors.lastname: Granick
authors.forename: E
authors.initials: E
authors.lastname: McGowan
authors.forename: C D
authors.initials: CD
authors.lastname: Long
mesh_terms: D016009:Chi-Square Distribution; D003933:Diagnosis; D003953:Diagnosis-Related Groups; D004194:Disease; D005260:Female; D015276:Health Care Rationing; D006753:Hospital Records; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay; D008297:Male; D015596:Nutrition Assessment; D017063:Outcome Assessment, Health Care; D010343:Patient Admission; D010348:Patient Care Team; D010564:Personnel, Hospital; D015143:Philadelphia; D003668:Pressure Ulcer / Q000191:economics / Q000451:nursing / Q000517:prevention & control*; D015995:Prevalence; D012051:Reimbursement Mechanisms; D018570:Risk Assessment; D012867:Skin / Q000033:anatomy & histology