Advancing Patient Safety Through Integrated Infection Control: A System-Wide Review of Multidisciplinary Collaboration and Care Quality Outcomes
VOLUME 21, 2024
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Bayan Fouad Mogharbel, Hind Mohammad Alsulami, Waleed Abdolmohsen Alluqmani, Zaki Jafar Alamri, Oqab Hamed Alkhudaydi
Shatha Ali Aloufi, Abdullah Abdulghani Mohammed Al-Thumali, Mohammed Essa Yahya Majrashi, Sultan Salman Alsharif, Maryam Eissa Majrashi
Abstract
Purpose: This review examines how integrated infection control strategies supported by multidisciplinary collaboration contribute to patient safety, care quality, and healthcare process improvement across medical systems.
Methods: A system-wide evidence synthesis was conducted using peer-reviewed studies published between 2016 and 2025. Databases included PubMed, Scopus, Web of Science, and CINAHL. Studies addressing infection control practices, interdepartmental collaboration, patient safety indicators, patient satisfaction, and quality outcomes were included.
Results: Findings indicate that coordinated infection prevention practices—when supported by governance structures, standardized workflows, and interprofessional communication—are associated with reduced healthcare-associated infections, improved patient experience, and enhanced operational efficiency.
Conclusion: Integrated infection control should be conceptualized not solely as a clinical function but as a system-level quality and safety mechanism. Strengthening multidisciplinary collaboration is essential for sustainable patient safety and care quality improvement.
Keywords :
Infection Control; Patient Safety; Multidisciplinary Collaboration; Healthcare Quality; Patient Satisfaction; Care Processes.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty