[Optimization of post-surgical wound by a multidisciplinary team: pilot feasibility study].

Area of Science:

• Healthcare Management
• Clinical Pharmacy
• Wound Care

Background:

• Post-surgical wound management faces challenges due to poor coordination between hospital and community care.
• Pharmacists can optimize discharge orders (DO) for improved compliance and cost reduction.
• Current care pathways lack efficiency in managing acute post-surgical wounds.

Purpose of the Study:

• To evaluate the impact of a multidisciplinary intervention on the quality and cost of acute post-surgical wound management.
• To assess improvements in discharge order compliance and community pharmacist satisfaction.
• To analyze the economic viability of the intervention.

Main Methods:

• A pilot, monocentric, prospective, before-and-after study was conducted.
• Non-conformities (NC) in DO for post-surgical wounds were analyzed pre- and post-intervention.
• Intervention included protocol development, prescription aid tools, and training across 3 surgical departments.

Main Results:

• The intervention reduced DO with non-conformities by 50% and the median number of NC per order by sevenfold.
• Community pharmacist satisfaction with DO quality increased fourfold.
• The intervention cost €787 but did not alter the average prescription cost.

Conclusions:

• The multidisciplinary intervention enhanced post-surgical wound management quality and hospital-community coordination.
• The intervention requires low human resource investment.
• Economic benefits may arise from avoided complication costs, warranting further valuation.