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allied
academies
Joint Event
February 21-22, 2019 | Paris, France
Microbiology & Applied
Microbiology
2
nd
International Conference on
World Congress on
Wound Care, Tissue Repair
and Regenerative Medicine
&
Journal of Trauma and Critical Care | Volume 3
Sustainability and innovation: A multidisciplinary approach to improve health outcomes while reducing costs
Burlando Mara, M C Cetini, A Russo, E Fassero, L Bernocco, P Carbone, A Paudice, F Cattel
and
A Scarmozzino
Città della Salute e della Scienza – Molinette Hospital, Italy
Introduction:
Since 2012, our University Hospital has defined
new policies for wound healing management for both hospital
and outpatient setting. It has been created a multidisciplinary
team of wound care experts with the role to define new
treatments and protocols in order to standardize the wounds
care approach.
Materials and Methods:
The whole wounds were assessed in
terms of total number, anatomical region involved and dressing
change per year; we have proceeded in dividing them by each
aetiology in sub-groups and then we have created 12 protocols
treatments. A modified DELPHI panel was applied to validate
these profiles and define a consensus document. Using this
method, based on current evidence, the treatment profiles, the
better technologies to use and the implementation protocols
have been selected. Each new treatment (according to Wound
Bed Preparation approach) was compared with the available
treatment currently used: A cost/opportunity analysis of the
dressings was then carried out for exclusive acquiring purposes.
Results:
Applying the treatments profile for each wound saved
150.000 euro per year out of a total expense of 430.000 euro.
The amount saved (about 30% of annual cost) has been used
to get innovative technological dressings (iso-resources). The
accuracy of the new treatments has allowed an increase of
treated cases (around 33% more); furthermore, due to the less
frequent dressings change, the new treatments reduce social
costs (around 30% less).
Conclusion:
Introducing innovative dressings in the
management of wound care and wound healing system
achieves an improvement both technological and conceptual
in the treatment of complex wounds. It represents the main
element of improvement for enhancing services and outcomes.
The assistance path and the possibility of using more resources
allow to better define the best treatment and to raise the
standards of care, reducing at the same time the margin of
discretion and promoting costs saving.
e:
marabur@libero.itJ Trauma Crit Care, Volume 3
DOI: 10.4066/2591-7358-C1-003