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Related Experiment Video

Updated: Jun 3, 2026

Assessment of Acute Wound Healing using the Dorsal Subcutaneous Polyvinyl Alcohol Sponge Implantation and Excisional Tail Skin Wound Models.

Assessment of Acute Wound Healing using the Dorsal Subcutaneous Polyvinyl Alcohol Sponge Implantation and Excisional Tail Skin Wound Models.

Published on: March 25, 2020

Improving Wound Assessment Documentation Using a Structured Scoring Tool: A Closed-Loop Quality Improvement Project

Rayan Hamza Mohamed Ahmedalgabri¹, Nada Abdelnaser Ahmed Alshorbagy², Amr Elbanna Mohammed Aly²

¹Dermatology, Regional Dermatology Training Centre, Moshi, TZA.

|June 2, 2026

Summary

Implementing a structured wound assessment tool significantly improved documentation completeness, enhancing patient safety. This quality improvement project demonstrated better recording of wound exudate, tissue exposure, and infection risk.

Keywords:

documentation compliance managil teaching hospital quality improvement wound assessment wound-dress

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Last Updated: Jun 3, 2026

Assessment of Acute Wound Healing using the Dorsal Subcutaneous Polyvinyl Alcohol Sponge Implantation and Excisional Tail Skin Wound Models.

Assessment of Acute Wound Healing using the Dorsal Subcutaneous Polyvinyl Alcohol Sponge Implantation and Excisional Tail Skin Wound Models.

Published on: March 25, 2020

Area of Science:

Healthcare Quality Improvement
Clinical Documentation Standards
Patient Safety in Wound Care

Background:

Incomplete wound assessment documentation poses risks to clinical decision-making, care continuity, and patient safety.
Structured documentation tools aim to standardize wound assessment and reduce variability in practice.
A quality improvement project was initiated to assess the impact of a structured tool on documentation completeness.

Purpose of the Study:

To evaluate the effectiveness of a structured wound assessment scoring tool in improving documentation completeness.
To identify specific areas of wound assessment documentation that benefit from standardization.
To assess the impact on patient safety through enhanced documentation.

Main Methods:

A closed-loop quality improvement project utilized two audit cycles.
Fifty wound dressing records were reviewed in a baseline assessment (Cycle 1).
A structured wound assessment scoring tool (WOUND-DRESS) was implemented with staff education, followed by a second audit (Cycle 2).

Main Results:

Significant improvements were noted in recording wound exudate (50% to 100%), depth/tissue exposure (28% to 100%), and infection risk (16% to 100%).
Calculation of total wound score improved from 6% to 100%, and documentation of actions taken increased from 42% to 100%.
Documentation of dressing type did not show significant improvement.

Conclusions:

Implementing a structured wound assessment scoring tool led to substantial improvements in documentation completeness, especially in critical safety domains.
Structured tools, combined with education and audit feedback, enhance wound documentation standardization and patient safety.
Ongoing monitoring is crucial for sustaining improvements in wound care documentation.