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 M.
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, H. Paul
dc.contributor.author Fulton, Greg J.
dc.date.accessioned 2016-02-17T11:45:31Z
dc.date.available 2016-02-17T11:45:31Z
dc.date.issued 2013
dc.identifier.citation Quinn EM, Corrigan MA, O’Mullane J, Murphy D, Lehane EA, Leahy-Warren P, et al. (2013) 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. PLoS ONE 8(11): e78786. doi:10.1371/journal.pone.0078786
dc.identifier.volume 8 en
dc.identifier.issued 11 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10468/2357
dc.identifier.doi 10.1371/journal.pone.0078786
dc.description.abstract Background: Chronic ulcers affect roughly 60,000 Irish people, at a total cost of €600,000,000, or €10,000 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 as a freely downloadable application, this has the potential to support the community care of chronic wounds. en
dc.description.sponsorship Health Research Board, Ireland (Grant No. HIS-05-16) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Public Library of Science en
dc.rights © 2015 Quinn et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Leg ulcers en
dc.subject Wound care en
dc.subject Telemedicine en
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
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother John O'Mullane, Computer Science, University College Cork, Cork, Ireland. +353-21-490-3000 Email: j.omullane@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.internal.wokid WOS:000327252100049
dc.contributor.funder Health Research Board
dc.description.status Peer reviewed en
dc.identifier.journaltitle PLOS ONE en
dc.internal.IRISemailaddress j.omullane@ucc.ie en
dc.identifier.articleid e78786


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© 2015 Quinn et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Except where otherwise noted, this item's license is described as © 2015 Quinn et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
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