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Related Concept Videos

Burn Injuries01:22

Burn Injuries

2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
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Thermal Imaging for Burn Wound Depth Assessment: A Mixed-Methods Implementation Study.

Jesse de Haan1, Matthea Stoop1,2,3, Paul P M van Zuijlen1,2,4,5,6

  • 1Burn Center, Red Cross Hospital, Vondellaan 13, 1942 LE Beverwijk, The Netherlands.

Journal of Clinical Medicine
|April 13, 2024
PubMed
Summary
This summary is machine-generated.

Thermal imaging improves burn wound assessment accuracy. Implementation strategies, guided by the Consolidated Framework for Implementation Research (CFIR), addressed physician attitudes and workflow compatibility, leading to successful adoption in a burn center outpatient clinic.

Keywords:
burn assessmentburn centrehealing potentialimplementationthermography

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Area of Science:

  • Medical technology implementation
  • Burn care innovation
  • Diagnostic imaging

Background:

  • Clinical innovations face implementation challenges.
  • Thermal imagers offer accessible, accurate burn wound depth assessment.
  • Burn centers require efficient diagnostic tools.

Purpose of the Study:

  • Assess barriers and facilitators for thermal imager implementation.
  • Design evidence-based implementation strategies using CFIR.
  • Guide the integration of thermal imaging in a burn center outpatient clinic.

Main Methods:

  • Mixed-methods study using semi-structured interviews with physicians.
  • Consolidated Framework for Implementation Research (CFIR) guided barrier/facilitator identification.
  • CFIR-ERIC Matching Tool and RE-AIM framework informed strategy development and evaluation.

Main Results:

  • Facilitators included low complexity and perceived advantages of thermal imaging.
  • Barriers involved physician attitudes, workflow compatibility, and knowledge gaps.
  • Developed strategies led to >70% reach and >80% effectiveness/adoption, though compatibility and resources remained challenges.

Conclusions:

  • CFIR-based strategies effectively facilitated thermal imager implementation for burn wound assessment.
  • Findings offer a model for implementing thermal imaging and other innovations in burn care.
  • Addressing workflow integration and resource allocation is crucial for sustained adoption.