ArticleBMC health services research2025
The development of a Multidisciplinary e-Care Coordination (MDeCC) prototype to facilitate effective care of pressure injuries.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPressure 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.
objectiveThis 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.
methodsA 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.
resultsThe 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.
conclusionThe 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.
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