{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T00:12:25Z","timestamp":1793751145669,"version":"4.6.1"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This study evaluated district\u2010wide implementation of a digital wound model of care combining an artificial intelligence\u2013enabled application with a virtual command centre across four hospitals and five community health centres in Australia. A post\u2010implementation multimethods evaluation (January 2024\u2013January 2026) of patients (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200994), frontline clinicians (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200975), and senior wound nurses (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20099) and a product manager (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091) using surveys, semi\u2010structured interviews and analysis of governance meeting minutes. Patient satisfaction was high: 91% rated care as \u2018excellent\u2019 or \u2018good\u2019, 93% 'agreed' or 'strongly agreed' it was effective and 96% 'agreed' or 'strongly agreed' that they felt confident in the care they received from their wound care provider. Just over half (59%) felt they were meaningfully involved in decisions about their own care, an area identified for targeted improvement in future iterations of the model. The most cited virtual care benefits included improved condition understanding (63%), and reduced travel (49%). Among the 28 patient app users, 89% reported improved communication between them and the wound care provider and 79% self\u2010management confidence. Senior wound nurses rated the app highly for ease of use and continuity of care (both 86%), but poor connectivity was a limitation. Frontline clinicians valued enhanced documentation consistency but reported barriers including time pressures and training burden. This multisite implementation demonstrates that digital wound care models are highly acceptable and deliver perceived clinical benefit, while identifying patient involvement in decision\u2010making and clinician workflow integration as priority areas for future investment.\n                  <\/jats:p>","DOI":"10.1111\/iwj.71016","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T02:57:28Z","timestamp":1787885848000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multisite Implementation of a Digital Wound Model of Care: A Post\u2010Implementation Multimethods Evaluation of Patient and Clinician Perspectives and Lessons Learned"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7764-4515","authenticated-orcid":false,"given":"Michelle","family":"Barakat\u2010Johnson","sequence":"first","affiliation":[{"name":"Tissue Repair Institute, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Wound Care and Skin Integrity, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"School of Human and Health Sciences University of Huddersfield  Huddersfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clementine","family":"Mak","sequence":"additional","affiliation":[{"name":"Centre for Research Excellence in Human Factors and AI\u2010Enabled Clinical Decision Support, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3651-4797","authenticated-orcid":false,"given":"Michelle","family":"Lai","sequence":"additional","affiliation":[{"name":"Tissue Repair Institute, Sydney Local Health District  Camperdown New South Wales Australia"},{"name":"Wound Care and Skin 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Skin Integrity, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Ko","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Services Concord Repatriation General Hospital, Sydney Local Health District  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Leong","sequence":"additional","affiliation":[{"name":"Wound Care and Skin Integrity, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Wound Care Command Centre Sydney Virtual Hospital, Sydney Local Health District  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivien","family":"Low\u2010Clarke","sequence":"additional","affiliation":[{"name":"Wound Care and Skin Integrity, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Skin Integrity and Wound Management, Nursing and Midwifery Services Royal Prince Alfred Hospital, Sydney Local Health District  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1412-8557","authenticated-orcid":false,"given":"Apryl Repole\u2010Li","family":"Vaccari","sequence":"additional","affiliation":[{"name":"Wound Care and Skin Integrity, Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Skin Integrity and Wound Management, Nursing and Midwifery Services Royal Prince Alfred 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