A time motion study of manual versus artificial intelligence methods for wound assessment
Open Access
- 28 July 2022
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 17 (7) , e0271742
Abstract
Objectives: This time-motion study explored the amount of time clinicians spent on wound assessments in a real-world environment using wound assessment digital application utilizing Artificial Intelligence (AI) vs. manual methods. The study also aimed at comparing the proportion of captured quality wound images on the first attempt by the assessment method. Methods: Clinicians practicing at Valley Wound Center who agreed to join the study were asked to record the time needed to complete wound assessment activities for patients with active wounds referred for a routine evaluation on the follow-up days at the clinic. Assessment activities included: labelling wounds, capturing images, measuring wounds, calculating surface areas, and transferring data into the patient’s record. Results: A total of 91 patients with 115 wounds were assessed. The average time to capture and access wound image with the AI digital tool was significantly faster than a standard digital camera with an average of 62 seconds (P<0.001). The digital application was significantly faster by 77% at accurately measuring and calculating the wound surface area with an average of 45.05 seconds (P<0.001). Overall, the average time to complete a wound assessment using Swift was significantly faster by 79%. Using the AI application, the staff completed all steps in about half of the time (54%) normally spent on manual wound evaluation activities. Moreover, acquiring acceptable wound image was significantly more likely to be achieved the first time using the digital tool than the manual methods (92.2% vs. 75.7%, P<0.004). Conclusions: Using the digital assessment tool saved significant time for clinicians in assessing wounds. It also successfully captured quality wound images at the first attempt.Keywords
This publication has 38 references indexed in Scilit:
- Challenges to nurses' efforts of retrieving, documenting, and communicating patient care informationJournal of the American Medical Informatics Association, 2013
- Comparative analysis of two methods for wound bed area measurementInternational Wound Journal, 2010
- Between-Visit Workload in Primary CareJournal of General Internal Medicine, 2010
- Human skin wounds: A major and snowballing threat to public health and the economyWound Repair and Regeneration, 2009
- Measuring Wound Length, Width, and AreaAdvances in Skin & Wound Care, 2008
- Reliability of Electronic Versus Manual Wound Measurement TechniquesArchives of Physical Medicine and Rehabilitation, 2006
- The Use of Digital Images in Evaluating Homecare Nursesʼ Knowledge of Wound AssessmentJournal of Wound, Ostomy & Continence Nursing, 2005
- ContentsWound Repair and Regeneration, 2004
- Nurse Staffing and Postsurgical Adverse Events: An Analysis of Administrative Data from a Sample of U.S. Hospitals, 1990–1996Health Services Research, 2002
- Nurse-Staffing Levels and the Quality of Care in HospitalsNew England Journal of Medicine, 2002