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Standardising practices improves clinical diabetic foot management: the Queensland Diabetic Foot Innovation Project, 2006-09

Lazzarini, Peter A, O'Rourke, Sharon R , Russell, Anthony W , Derhy, Patrick H , & Kamp, Maarten C (2012) Standardising practices improves clinical diabetic foot management: the Queensland Diabetic Foot Innovation Project, 2006-09. Australian Health Review, 36, pp. 8-15.

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    Abstract

    Objective. The aim of this paper is to report the clinical practice changes resulting from strategies to standardise diabetic foot clinical management in three diverse ambulatory service sites in Queensland, Australia. Methods. Multifaceted strategies were implemented in 2008, including: multidisciplinary teams, clinical pathways, clinical training, clinical indicators, and telehealth support. Prior to the intervention, none of the aforementioned strategies were used, except one site had a basic multidisciplinary team. A retrospective audit of consecutive patient records from July 2006 to June 2007 determined baseline clinical activity (n = 101).Aclinical pathway teleform was implemented as a clinical activity analyser in 2008 (n = 327) and followed up in 2009 (n = 406). Pre- and post-implementation data were analysed using Chi-square tests with a significance level set at P < 0.05. Results. There was an improvement in surveillance of the high risk population of 34% in 2008 and 19% in 2009, and treating according to risk of 15% in 2009 (P < 0.05). The documentation of all best-practice clinical activities performed improved 13–66% (P < 0.03). Conclusion. These findings support the use of multifaceted strategies to standardise practice and improve diabetic foot complications management in diverse ambulatory services.

    Impact and interest:

    2 citations in Scopus
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    2 citations in Web of Science®

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    ID Code: 54512
    Item Type: Journal Article
    Keywords: Ambulatory, Clinical practice, Foot Ulcer
    DOI: 10.1071/AH10978
    ISSN: 1449-8944 (online) 0156-5788 (print)
    Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Endocrinology (110306)
    Divisions: Current > Schools > School of Clinical Sciences
    Current > QUT Faculties and Divisions > Faculty of Health
    Copyright Owner: Copyright 2012 Australian Healthcare and Hospitals Association
    Deposited On: 02 Nov 2012 11:33
    Last Modified: 07 Nov 2012 19:40

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