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Background <p>Pressure injuries (PIs) remain a critical quality and safety concern in healthcare, often resulting from fragmented care coordination and inconsistent adherence to evidence-based practices. They mainly impact immobile patients, especially the elderly, critically ill, or neurologically impaired individuals with extended stays or poor nutrition. Digital health solutions show promise in standardizing and enhancing interdisciplinary care, but many systems do not accurately reflect real-world workflows or frontline clinical needs.</p> Objective <p>This study describes the first two phases in the development of the Multidisciplinary e-Care Coordination (MDeCC) system, an evidence-based, co-designed digital care component for PI management focusing on protocol development, stakeholder engagement, and initial digital configuration.</p> Methods <p>A qualitative participatory design approach was employed across two phases to co-develop the content and structure of the MDeCC prototype. In Phase 1, three iterative co-design workshops were conducted with clinicians, administrators, and caregivers. These workshops served as qualitative inquiry sessions to explore current workflows, identify challenges, and co-generate design input. A structured PI care protocol was co-created and validated through stakeholder feedback. In Phase 2, the validated protocol was translated into a configurable digital prototype compatible with the hospital’s OASIS system.</p> Results <p>The process yielded a tailored MDeCC prototype grounded in seven evidence-based care domains: assessment, nutrition, mobility, pain management, support surfaces, education, and sustainability of care. Design features emphasized multidisciplinary usability, mobile accessibility, role-specific dashboards, and integration with institutional workflows.</p> Conclusion <p>The MDeCC has the potential to support wound care teams, hospital policymakers, and quality inspectors in advancing more coordinated, accountable, and sustainable pressure injury care practices. Future phases will assess real-world deployment and impact.</p> Clinical trial number <p>Not applicable.</p>

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The development of a Multidisciplinary e-Care Coordination (MDeCC) prototype to facilitate effective care of pressure injuries

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月3日

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  • Modi Al-Moteri,
  • Afnan Z. Sahrah,
  • Ensherah Saeed Althobiti,
  • Abdulaziz Saad Alotaibi,
  • Salha Alshamari,
  • Alya Abdullah HabibUllah,
  • Anwar Abed Almashykhi,
  • Nail Musleh Al-Siyali,
  • Mohammed Rashed Al-Bardi,
  • Maaidah M. Algamdi,
  • Rizal Angelo N. Grande,
  • Daniel Joseph E. Berdida,
  • Mesheil Alalyani,
  • Maha Alkhaldi,
  • Sameer Alzaidi

摘要

Background

Pressure injuries (PIs) remain a critical quality and safety concern in healthcare, often resulting from fragmented care coordination and inconsistent adherence to evidence-based practices. They mainly impact immobile patients, especially the elderly, critically ill, or neurologically impaired individuals with extended stays or poor nutrition. Digital health solutions show promise in standardizing and enhancing interdisciplinary care, but many systems do not accurately reflect real-world workflows or frontline clinical needs.

Objective

This study describes the first two phases in the development of the Multidisciplinary e-Care Coordination (MDeCC) system, an evidence-based, co-designed digital care component for PI management focusing on protocol development, stakeholder engagement, and initial digital configuration.

Methods

A qualitative participatory design approach was employed across two phases to co-develop the content and structure of the MDeCC prototype. In Phase 1, three iterative co-design workshops were conducted with clinicians, administrators, and caregivers. These workshops served as qualitative inquiry sessions to explore current workflows, identify challenges, and co-generate design input. A structured PI care protocol was co-created and validated through stakeholder feedback. In Phase 2, the validated protocol was translated into a configurable digital prototype compatible with the hospital’s OASIS system.

Results

The process yielded a tailored MDeCC prototype grounded in seven evidence-based care domains: assessment, nutrition, mobility, pain management, support surfaces, education, and sustainability of care. Design features emphasized multidisciplinary usability, mobile accessibility, role-specific dashboards, and integration with institutional workflows.

Conclusion

The MDeCC has the potential to support wound care teams, hospital policymakers, and quality inspectors in advancing more coordinated, accountable, and sustainable pressure injury care practices. Future phases will assess real-world deployment and impact.

Clinical trial number

Not applicable.