14 March 2019

Expert group publishes new T.I.M.E. clinical decision support tool to help improve the consistency of daily wound care practice

14 March 2019

Smith & Nephew (NYSE:SNN; LSE:SN), the global medical technology business, today welcomes the publication of an expert working group recommendation targeting consistency in clinical practice and improved outcomes through an evolved T.I.M.E. framework.1

The T.I.M.E. framework was originally developed by an international group of wound healing experts to provide a structured approach to wound bed preparation.2,3 This tool has previously tended to focus mainly on the wound rather than on the patient and their wider health issues.4 Smith & Nephew brought together leading wound expert practitioners, building on the original framework, to develop a new T.I.M.E. clinical decision support tool (CDST). T.I.M.E. CDST takes the healthcare professional through a simple five step approach consisting of a) a holistic, multidisciplinary assessment, b) use of the multidisciplinary team, c) control of systemic disorders, d) the decision on the treatment plan and e) an evaluation of outcomes.

“We welcome the development and introduction of T.I.M.E. CDST”, said Paolo Di Vincenzo, Senior Vice President Global Marketing, Smith & Nephew Wound Management “as it is designed by experts to help provide an easy to adopt structure for every day practitioners to manage wound care more effectively. We believe the correct implementation of T.I.M.E. CDST will help practitioners better assess what’s needed for each patient, when to use what product, and for how long. With a complete leading portfolio that can help address every aspect of T.I.M.E. supporting the broad range of clinical needs our customers face daily, we look forward to supporting the T.I.M.E. CDST implementation in routine clinical practice, to help reduce practice variation, improve healing rates and resource utilization”.

“Despite the understanding that wounds are a common problem affecting the individual, the health service and society as a whole, there continues to be a lack of a systematic, structured evidence-based approach to wound management.” said Zena Moore, Professor of Nursing and Head of the School of Nursing & Midwifery and Director of the Skin Wounds and Trauma Research Centre, Royal College of Surgeons, Ireland. “In answering this need, we developed the T.I.M.E. CDST tool. The next step in the journey is evaluation of the model, education of health professionals about the tool, implementation and evaluation of outcomes achieved from its use. It is evident that exciting times lie ahead.”

To learn more about the T.I.M.E. CDST please visit http://www.smith-nephew.com/time/



Dave Snyder
+1 (978) 749-1440
Smith & Nephew

About Smith & Nephew

Smith & Nephew is a portfolio medical technology business with leadership positions in Orthopaedics, Advanced Wound Management and Sports Medicine. Smith & Nephew has more than 16,000 employees and a presence in more than 100 countries. Annual sales in 2018 were $4.9 billion. Smith & Nephew is a member of the FTSE100 (LSE:SN, NYSE:SNN). For more information about Smith & Nephew, please visit our corporate website www.smith-nephew.com and follow us on Twitter, LinkedIn or Facebook.

To learn more about how we can help you get CLOSER TO ZERO™ delay in wound healing, please visit www.closertozero.com

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  1. Moore Z, Dowsett C, Smith G, et al. TIME CDST: an updated tool to address the current challenges in wound care. J Wound Care 2019; 28(3):154-161.
  2. Schultz GS, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Rep Reg. 2003;11(Suppl. 1):S1-28.
  3. Leaper DJ, Schultz G, Carville K, Fletcher J, Swanson T, Drake R. Extending the T.I.M.E. concept: what have we learned in the past 10 years? Int Wound J. 2012;9(Suppl. 2):1–19.
  4. Dowsett C and Newton H. Wound bed preparation: TIME in practice. Wounds UK, 2005; 1(3):58-70.