{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:11:11Z","timestamp":1785363071436,"version":"3.55.0"},"reference-count":17,"publisher":"Mark Allen Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2018,6,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To develop a holistic pathway for leg ulcer assessment and management, implemented within a local community organisation. The primary aim for this pathway was to reduce time-to-healing. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> A leg ulcer pathway was designed to be used in all care settings to support continuity, and contains quality of life (QoL) assessment tools, a treatment algorithm, guidance for use, a leg ulcer assessment form, and a wound treatment chart. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Data analysis, carried out 12 months after implementation, compared pre- and post-averages for ulcer time-to-healing: 123.7 days (median: 84 days), n=46 pre-implementation, versus 69.1 days (median: 46 days), n=30 post-implementation, respectively, which demonstrated a minimum 44% reduction in time. Cost saving analysis demonstrated a minimum cost reduction of 45% in nursing time. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The implementation of a structured, person-centred leg ulcer pathway has provided many benefits to patients, clinicians and the hospital and community trust. Enhancing correct dressing product placement by ensuring the right dressing is used at the right time, in tandem with the correct compression regime, improved healing outcomes. The patient journey has become more streamlined providing the best chance to achieve full healing quickly. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2018.27.6.378","type":"journal-article","created":{"date-parts":[[2018,6,8]],"date-time":"2018-06-08T17:24:33Z","timestamp":1528478673000},"page":"378-384","source":"Crossref","is-referenced-by-count":6,"title":["Improving patient outcomes through the implementation of a person-centred leg ulcer pathway"],"prefix":"10.12968","volume":"27","author":[{"given":"Julie","family":"Mullings","sequence":"first","affiliation":[{"name":"Lead Nurse, Tissue Viability, Manchester Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Merlin-Manton","sequence":"additional","affiliation":[{"name":"Clinical Specialist\/Tissue Viability Nurse, Urgo Medical, Shepshed, Loughborough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12603"},{"issue":"3","key":"B2","first-page":"44","volume":"104","author":"Posnett J","year":"2008","journal-title":"Nurs Times"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2014.23.12.601"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.7.368"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1002\/9781119017066"},{"key":"B8","unstructured":"Best Practice Statement: Holistic Management of Venous Leg Ulceration, Wounds UK 2016"},{"key":"B10","first-page":"CD000265","volume":"11","author":"O'Meara S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2012.00797.x"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.Sup2.S4"},{"key":"B13","author":"Edmonds M","year":"2017","journal-title":"Lancet"},{"issue":"1","key":"B14","first-page":"67","volume":"9","author":"Gardner S.","year":"2013","journal-title":"Wounds UK"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.10.534"},{"key":"B16","unstructured":"Green J. Chronic venous leg ulcer care \u2013 are we missing a vital piece of the jigsaw? Wounds UK. 2017; 13"},{"key":"B17","unstructured":"Netten A, Knight J, Dennett J et al. Development of a Ready Reckoner for Staff Costs in the NHS, Vols 1 & 2, Personal Social Services Research Unit, University of Kent. 1998."},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.6.292"},{"issue":"6","key":"B20","volume":"30","author":"Stanton J","year":"2016","journal-title":"JCN"},{"key":"B21","unstructured":"International Wound Infection Institute. Wound Infection in Clinical Practice. Wounds International 2016."}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2018.27.6.378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T20:40:18Z","timestamp":1653424818000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2018.27.6.378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,2]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6,2]]}},"alternative-id":["10.12968\/jowc.2018.27.6.378"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2018.27.6.378","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,2]]}}}