Implementing Venous Leg Ulcer Education and Clinical Decision Support: A Quality Improvement Project
| dc.contributor.author | Beatty, Amelia | |
| dc.contributor.author | Jones, Penny S | |
| dc.contributor.author | Vail, Christopher | |
| dc.contributor.author | Thompson, Julie A | |
| dc.contributor.author | Reynolds, Staci S | |
| dc.date.accessioned | 2022-09-29T14:45:25Z | |
| dc.date.available | 2022-09-29T14:45:25Z | |
| dc.date.issued | 2022-09-01 | |
| dc.date.updated | 2022-09-29T14:45:25Z | |
| dc.description.abstract | BACKGROUND: Venous leg ulcers (VLU) require early identification and treatment to prevent further harm. Health care providers often fail to initiate evidenced-based VLU treatment promptly because of a lack of knowledge of VLU guidelines. PURPOSE: To improve early treatment for patients with VLUs presenting to outpatient clinic settings. METHODS: Plan-DoStudy-Act cycles were used for this quality improvement project. Virtual education and a comprehensive clinical decision support (CDS) order set were implemented. Outcome metrics included the rate of ankle-brachial index (ABI) testing, mechanical compression therapy, and home health service referrals for patients with VLUs. The frequency with which the CDS order set was used was also measured. RESULTS: Forty health care providers attended the virtual education sessions among 3 outpatient clinics. There was an increase in ankle-brachial index testing from pre (n = 7; 15.9%) to post (n = 10; 18.2%) (P =.796), but there was a decline in mechanical compression therapy from pre (n = 15; 34.1%) to post (n = 4; 7.3%) (P =.002) and home health service referrals from pre (n = 11; 25%) to post (n = 9; 16.4%) (P =.322). The CDS order set was used 9 times over 13 weeks. CONCLUSION: Future Plan-Do-Study-Act cycles will include completing in-person education and reducing the VLU CDS order set length. Future projects should consider these approaches when implementing evidence-based VLU guidelines. | |
| dc.identifier.issn | 2640-5237 | |
| dc.identifier.issn | 2640-5245 | |
| dc.identifier.uri | ||
| dc.publisher | HMP Communications, LLC | |
| dc.relation.ispartof | Wound Management and Prevention | |
| dc.relation.isversionof | 10.25270/wmp.2022.9.1218 | |
| dc.title | Implementing Venous Leg Ulcer Education and Clinical Decision Support: A Quality Improvement Project | |
| dc.type | Journal article | |
| duke.contributor.orcid | Reynolds, Staci S|0000-0002-0366-1328 | |
| pubs.begin-page | 12 | |
| pubs.end-page | 18 | |
| pubs.issue | 9 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Nursing | |
| pubs.publication-status | Published | |
| pubs.volume | 68 |
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