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Proposal to the construction of clinical algorithm to support decision-making for the person with complex wounds
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Background: Given the increasing complexity of evaluation and intervention in person with chronic, complex, or hard-to-heal wounds, healthcare professionals with less experience end up having a greater difficulty in the decision-making process, making it necessary to develop tools that support clinical reasoning in the diagnosis of wound typology and therapeutic plan. Objectives: To construct and validate clinical algorithms for the differential diagnosis of wound typology and treatment of the person with wound. Material and methods: Mixed study, composed of 3 stages. The first stage, construction of clinical algorithms supported in evidence produced in systematic reviews of the literature, in the opinion of experts and guidance standards. The second stage, content analysis of recommendations and alerts by consensus of expert/specialist to incorporate in clinical algorithms. The third stage, a clinical validation through analytical observational study of prospective and multicenter cohort to determine intra-observer and interobserver agreements and reliability for wound type diagnoses (pressure ulcer, pressure ulcer associated with medical devices, pressure ulcer in the mucous membranes, venous leg ulcer, mixed leg ulcer, arterial ulcer and diabetic foot ulcer) and treatment recommendations between nursing evaluation, system algorithm and expert/specialist. Results: With this study we intend to validate the different components built for clinical algorithms, alerts and recommendations for the treatment of person with complex wounds. The decision support tools promote: safety in action, high quality healthcare and protection against complications. This study is in phase two of content validation with experts. Conclusions: The results will give validity to the constructed algorithms that will integrate in a mobile application to support clinical decision-making that aims to guide the healthcare professional to provide standardized, safe, and evidence-based care.
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Marques, R., Lopes, M., & Alves, P. (2023). Proposal to the construction of clinical algorithm to support decision-making for the person with complex wounds. BMC Proceedings, 17(9, suppl.), 25-25. Article P47.