T.I.M.E. klinische beslishulp Clinical decision support tool (CDST)

De prevalentie van slecht genezende wonden neemt toe terwijl zorgverleners worden geconfronteerd met steeds hogere verwachtingen – ondanks tijd- en budgetrestricties – en patiënten vaker worden behandeld door niet-specialisten die extra begeleiding nodig hebben. Wanneer inconsistenties en beperkte specialistische inbreng de wondgenezing mogelijk vertragen, ontstaat de behoefte om de klinische werkwijze te structureren en te vereenvoudigen1-3

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Systematic consistency in wound care practice

Currently, in current chronic wound care:

  • 24% of patients live with a chronic wound for at least 6 months3
  • Increasingly, generalist nurses are treating complex wounds with limited training2
  • Specialist team referral and treatment changes vary from 0 days to over 2 months4

T.I.M.E. CDST offers holistic wound and patient assessment, facilitating multidisciplinary team involvement to promote systematic consistency and confidence for even non-specialist clinicians.

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Evolving the T.I.M.E. concept

The T.I.M.E. concept began in 2003 with a group of wound management experts who sought a rational, systematic approach to guide wound bed preparation and address non-healing wounds by identifying and removing barriers to healing.7

Seeking a wider, multi-disciplinary and holistic approach that reviewed all patient circumstances, the T.I.M.E. CDST considered other developments, such as:6-12

  • The need for repetitive wound cleansing, maintenance and debridement
  • Bacterial continuum, biofilm concepts and antibiotics resistance
  • Moisture balance, advanced dressings for exudate management and novel treatment modalities for epithelial advancement

     

The result is a framework that’s easy to implement, teach and use for consistent wound assessment and evidence-based decision-making.4-12

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Download T.I.M.E. CDST


Implementing and using T.I.M.E. CDST

Achieve simplification and systematic consistency in practice by implementing the five-step framework:8-11




Case studies en klinisch bewijs

Klinisch experts zijn continu bezig te analyseren in hoeverre T.I.M.E. klinische beslishulp bijdraagt aan de ontwikkeling van systematische consistentie en vertrouwen in de klinische werkwijze.



Disclaimers

De producten die worden gebruikt in de T.I.M.E. klinische beslishulp kunnen per afzetgebied verschillen. Het kan zijn dat niet alle genoemde producten in elk afzetgebied zijn goedgekeurd voor gebruik of beschikbaar zijn. Neem contact op met uw lokale Smith+Nephew-vertegenwoordiger voor meer informatie over producten die bij u verkrijgbaar zijn.

Alleen bedoeld voor zorgverleners buiten de VS.

Citations
  1. Guest et al. JWC. 2017 26(6): 292-303.
  2. Guest JF, et al. BMJ Open 2020;10:e045253. doi:10.1136/bmjopen-2020-045253.
  3. Rossington A, et al. Wounds International. 2018;9(4):58-62.
  4. Ousey K, et al. Wounds International. 2018;9(4):58-62.
  5. World Union of Wound Healing Societies. Consensus document. Strategies to reduce practice variation in wound assessment and management: The T.I.M.E. Clinical Decision Support Tool. Available. https://www.wuwhs.com/web/index.php?option=comcontent&view=article&id=51. Accessed March 2020.
  6. Moore Z, et al. J Wound Care. 2019;28(3):154-161.
  7. Schultz GS, et al. Wound Rep Reg 2003; 11:1-28.
  8. Swanson T, et al. Wounds International. 2019;10(2):38–47.
  9. Jelnes R, et al.Wounds International. 2019;10(3):40–44.
  10. Woo K. et al. Wounds International. 2019;10(2):38–47.
  11. Walters S, et al. Wounds International. 2019;10(4):32-39.
  12. Blackburn J, et al. Wounds International. 2019;10(4):40-49.
  13. International consensus. Optimising wellbeing in people living with a wound. An expert working group review. London: Wounds International, 2012.
  14. Leaper DJ, et al. Int Wound J. 2012; 9 (Suppl 2):1-19.
  15. European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in Practice. London: MEP Ltd, 2004.

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