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Clinical unity and community empowerment: the use of smartphone technology to empower community management of chronic venous ulcers through the support of a tertiary unit

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dc.contributor.author Quinn, Edel Marie
dc.contributor.author Corrigan, Mark A.
dc.contributor.author O'Mullane, John
dc.contributor.author Murphy, David
dc.contributor.author Lehane, Elaine A.
dc.contributor.author Leahy-Warren, Patricia
dc.contributor.author Coffey, Alice
dc.contributor.author McCluskey, Patricia
dc.contributor.author Redmond, Henry Paul
dc.contributor.author Fulton, Greg J.
dc.date.accessioned 2018-11-19T14:45:55Z
dc.date.available 2018-11-19T14:45:55Z
dc.date.issued 2013
dc.identifier.uri http://hdl.handle.net/10344/7329
dc.description peer-reviewed en_US
dc.description.abstract Background: Chronic ulcers affect roughly 60,000 Irish people, at a total cost of J600,000,000, or J10,000 per patient annually. By virtue of their chronicity, these ulcers also contribute a significant burden to tertiary outpatient vascular clinics. Objective: We propose utilizing mobile phone technology to decentralise care from tertiary centres to the community, improving efficiency and patient satisfaction, while maintaining patient safety. Methods: Bespoke mobile software was developed for Apples iPhone 4 platform. This allowed for the remote collection of patient images prospectively and their transmission with clinical queries, from the primary healthcare team to the tertiary centre. Training and iPhones were provided to five public health nurses in geographically remote areas of the region. Data were uploaded securely and user end software was developed allowing the review and manipulation of images, along with two way communication between the teams. Establishing reliability, patients were reviewed clinically as well as remotely, and concordance analysed. Qualitative data were collected through focus group discussion. Results: From October to December 2011 eight patients (61–83 yrs, mean 75.3 yrs) with chronic venous ulceration and their five public health nurses were recruited. Data were transmitted using 3 G, Edge, GPRS and WiFi, at a mean speed of 69.03 kps. Concordance was 100% for wound bed assessment, 80% for skin integrity/colour and 60% for exudate assessment. Focus group analysis explored the concept, practicalities and future applications of the system. Conclusions: With an evolving national data network, the secure transmission of clinical images is a safe alternative to regular clinic appointments for patients with chronic venous ulceration. With further development, and packaged en_US
dc.language.iso eng en_US
dc.publisher Public Library of Science en_US
dc.relation.ispartofseries PLoS ONE;8 (11), e78786
dc.relation.uri https://doi.org/10.1371/journal.pone.0078786
dc.subject smartphone technology en_US
dc.subject chronic ulcers en_US
dc.title Clinical unity and community empowerment: the use of smartphone technology to empower community management of chronic venous ulcers through the support of a tertiary unit en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2018-11-19T14:15:10Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1371/journal.pone.0078786
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2736907
dc.internal.copyrightchecked Yes
dc.description.status peer-reviewed


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