4.3 Article

Development of a generic wound care assessment minimum data set

Journal

JOURNAL OF TISSUE VIABILITY
Volume 26, Issue 4, Pages 226-240

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.jtv.2017.09.007

Keywords

Wounds; Assessment; Management; Audit; Nursing

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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.

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