Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
Hess, Cathy Thomas BSN, RN, CWOCN
Cathy Thomas Hess, BSN, RN, CWOCN, is Vice President and Chief Clinical Officer, Net Health Systems, Inc. Please address correspondence to: Cathy Thomas Hess, BSN, RN, CWOCN, via e-mail: firstname.lastname@example.org.
In my last column, “Value of a Specialty Wound Care Electronic Medical Record,” we discussed utilizing a specialty wound care electronic medical record as a key to drive process efficiencies, manage volume, and support outcomes. One effective tool for supporting outcomes is the clinical pathway, which provides direction in a stepwise fashion for the team to follow when performing a comprehensive patient assessment. The assessment details the patient’s medical history, inclusive of the wound’s status. To complete each step, consider appropriate personnel through a clinical and operational workflow synchronization model. The pathway should provide information regarding an initial assessment. Follow-up visits will be predicated on the department’s clinical and operational workflow, policies and procedures, and the necessary medical/clinical direction based on the patient and his/her wound presentation. Such a pathway can serve as a guideline for the healthcare team to follow for a specific diagnosis (Figure 1).
In this column, we will look at the diabetic etiology evidence-based pathway, specifically week 1, and weeks 4 and 20 will be presented in subsequent columns. Key decision points are provided based on research that combines healing rates at 4 weeks with expected outcomes. If the patient does not meet a given healing rate, closure objective research suggests that they may experience delayed healing in the weeks to come. The provider may, at this point, act on further evidence-based adjunctive therapy recommendations altering the patient’s expected negative outcome. Selected references offer further considerations when developing pathways for your facility.
Source: Hess CT. Clinical Guide: Skin and Wound Care. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
© 2013 Lippincott Williams & Wilkins, Inc.
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Advances in Skin & Wound Care.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection
Article Level Metrics