Cultura

The Impact of Digital Transformation on Improving Nursing Practice and its Relationship to Patient Safety and Electronic Medical Records

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Alaa Hasan Algrigri, Manal Mohammed Asiri, Tallah Muhalhel Alshehri, Ahlam Ahmed Almutairi, Ahmed Awadh Alhazmi, Reem Hassan Aldow
Hamza Jamil Qasem, Safaa Bakr Habadi, Abdulmajeed Omar Alansari, Zalikha Esmat Attar, Shaza Assad Calcuttawi, Ghadi Mansour Fatani

Abstract

The digitalization of healthcare has been developing at a fast pace, although the specific role of electronic medical records (EMRs) and digital platforms in nursing practice and patient safety has not been thoroughly studied, especially in the context of the Saudi Arabian Vision 2030. This study evaluated the level of impact of digital health tools on clinical efficiency, decision-making, and patient outcomes. We surveyed 225 nurses in King Fahad Armed Forces Hospital, Jeddah, who were sampled through random sampling. The demographic profiles, knowledge of digital systems, the rate of use of the tools, and the perceived clinical outcomes were captured using a structured questionnaire. Descriptive statistics were used to describe the workforce, and inferential tests were used to investigate the relationships between digital adoption and clinical outcomes. The results showed that 63.6% of nurses stated that they were aware of EMRs, and 92.9% of them admitted that digital tools helped to enhance the quality of care. Self-reported data revealed that the patient outcomes were improved (mean = 4.1), medical errors were decreased (mean = 4.0), and the treatment planning was enhanced (mean = 4.1). Although there were these gains, formal training of AI, telemedicine, or mHealth applications was only given to 29.3%. The findings indicate that digital integration is beneficial to nursing practice and patient safety but is limited by the presence of training gaps and unequal digital literacy. Specific capacity-building and system optimization are obligatory to convert technological adoption into quantifiable clinical gains.

Keywords : Digital Health, Electronic Medical Records, Nursing Practice, Patient Safety, Telemedicine.
Erin Saricilar
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