title: ﻿﻿﻿﻿﻿﻿﻿An observational study to assess an electronic point-of-care wound documentation and reporting system regarding user satisfaction and potential for improved care.
abstract: The integration of information technology into daily patient care potentially provides a means to standardize care and enable continuous quality improvement through improved communication among care teams. A 2-month observational study was conducted on 38 residents with pressure ulcers at a 51-bed skilled nursing facility to rate the Ease of Use and Wound Management Effectiveness of a point-of-care electronic wound documentation system. Nine nurses evaluated the use of handheld "smart phone" devices equipped with a digital camera to document pressure ulcer assessment and treatment at point of care. Ease of Use (five items) was scored on a 5-point Likert scale (5 = very easy); Wound Management Effectiveness (eight items) was scored on a 5-point Likert scale (5 = very effective). Statistically significant mean changes in nurses' ratings were found for baseline compared to 2-month follow-up by paired t-test. Ease of Use ratings across the five criteria increased from an overall mean of 3.3 at baseline to 4.7 at follow-up (P = 0.5), while Wound Management Effectiveness increased from an overall mean of 3.3 at baseline to 4.4 at follow-up (P = 0.5) . The greatest gains for single items were reviewing wound progress (mean difference = 2.35; P = 0.000) and recognizing changes in wound status (mean difference = 1.78; P = 0.001) within the Ease of Use and Wound Management Effectiveness scales, respectively. The smallest change occurred in reading charts and notes (mean difference = 0.89) and ability to determine resident's risk level (mean difference = 0.39). Further research is needed to assess use of a wound documentation system in this and other settings, as well as to ascertain validity and reliability.
authors.affiliation: Quality and Clinical Excellence, Provena Heritage Village, Mokena, IL, USA. ﻿
authors.forename: Beth
authors.initials: B
authors.lastname: Florczak
authors.forename: Anne
authors.initials: A
authors.lastname: Scheurich
authors.forename: John
authors.initials: J
authors.lastname: Croghan
authors.forename: Philip
authors.initials: P
authors.lastname: Sheridan
authors.forename: Debra
authors.initials: D
authors.lastname: Kurtz
authors.forename: William
authors.initials: W
authors.lastname: McGill
authors.forename: Bonny
authors.initials: B
authors.lastname: McClain
mesh_terms: D034201:Computers, Handheld; D004282:Documentation / Q000379:methods*; D057286:Electronic Health Records; D006801:Humans; D024802:Nurse's Role; D010549:Personal Satisfaction; D019095:Point-of-Care Systems; D003668:Pressure Ulcer / Q000175:diagnosis* / Q000451:nursing / Q000628:therapy*; D011787:Quality of Health Care; D012866:Skilled Nursing Facilities