| Sumario: | Aim: To explore the clinical and financial benefits following the implementation of integrated care bundles (ICBs) within in a real-world cohort of multiple wound types across two large community care facilities in Ontario, Canada. Method: An observational, retrospective cohort analysis of the effectiveness and safety of a series of wound-specific ICBs, adopted to improve the management of open chronic wounds, was undertaken. Outcomes from patients who received a multi-layered, silicone adhesive foam dressing as part of their ICB were compared with outcomes from patients who did not receive the ICB. Results / Discussion: Patients who received the ICBs, included treatment with the foam dressing (n=16,841), experienced improved outcomes compared with those who did not receive the ICB (n=2242), including a faster time to healing (12.8 vs 25.5 weeks, respectively), and longer time between dressing changes (3.5 vs 1.9 days, respectively). Decreased mean nursing visits in the ICB cohort led directly to decreased resource costs, compared with mean per patient costs in the non-ICB cohort (1733 vs 6488 CAD, respectively). Conclusion: The reality of delivering the evidence-based practice that is best placed to deliver good outcomes, can be challenging. Our experience suggests that the adoption of pathways and ICBs may make it easier to adopt best practice.
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