T.I.M.E. Clinical decision support tool (CDST)
Chronic wound prevalence is growing, with clinicians facing increased expectations and more patients treated by non-specialists. When inconsistency and limited specialist involvement may delay healing, there’s a need to structure and simplify clinical practice1-3
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.
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
Implementing and using T.I.M.E. CDST
Evidenze e casi clinici
Clinical experts continue to analyse the contribution of T.I.M.E. CDST in building systematic consistency and confidence in clinical practice.
Tecnologie correlate
Disclaimers
I prodotti usati nello strumento di supporto decisionale clinico T.I.M.E. possono variare a seconda del Paese di utilizzo. Non tutti i prodotti citati possono essere approvati per l’uso o disponibili in tutti i mercati. Consultare il rappresentante locale di Smith+Nephew per ulteriori dettagli sui prodotti disponibili nel proprio mercato.
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Citations
- Guest et al. JWC. 2017 26(6): 292-303.
- Guest JF, et al. BMJ Open 2020;10:e045253. doi:10.1136/bmjopen-2020-045253.
- Rossington A, et al. Wounds International. 2018;9(4):58-62.
- Ousey K, et al. Wounds International. 2018;9(4):58-62.
- 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.
- Moore Z, et al. J Wound Care. 2019;28(3):154-161.
- Schultz GS, et al. Wound Rep Reg 2003; 11:1-28.
- Swanson T, et al. Wounds International. 2019;10(2):38–47.
- Jelnes R, et al.Wounds International. 2019;10(3):40–44.
- Woo K. et al. Wounds International. 2019;10(2):38–47.
- Walters S, et al. Wounds International. 2019;10(4):32-39.
- Blackburn J, et al. Wounds International. 2019;10(4):40-49.
- International consensus. Optimising wellbeing in people living with a wound. An expert working group review. London: Wounds International, 2012.
- Leaper DJ, et al. Int Wound J. 2012; 9 (Suppl 2):1-19.
- European Wound Management Association (EWMA). Position Document: Wound Bed Preparation in Practice. London: MEP Ltd, 2004.