Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID-19 pandemic.
Michelle Barakat-JohnsonAaron JonesMitch BurgerThomas LeongAstrid FrotjoldSue RandallBora KimJudith FethneyFiona CoyerPublished in: International wound journal (2022)
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.
Keyphrases
- artificial intelligence
- healthcare
- wound healing
- surgical site infection
- electronic health record
- randomized controlled trial
- palliative care
- big data
- machine learning
- case report
- ejection fraction
- newly diagnosed
- public health
- affordable care act
- mental health
- prognostic factors
- health information
- patient reported outcomes
- health insurance
- chronic pain