A Randomized Controlled Trial on the Application of Artificial Intelligence (AI) in Skin Assessment for Pressure Injury Prevention and Staging by Critical Care Nurses
Trial ID: NCT07318571
Status: RECRUITING
Study type: INTERVENTIONAL
Phase: NA
Start date: 2025-11-24
Completion date: 2026-05-16
Sponsor: King Faisal Specialist Hospital & Research Center
Conditions: The Study Focuses on Skin Assessment and PI Staging in ICU Patients
Interventions: ChatGPT Skin Assessment
Locations: King Faisal Specialist Hospital and Research Center- Jeddah
Countries: Saudi Arabia
Enrollment: 90
Age range: 18 Years - None
Sex: ALL

Summary:
The goal of this clinical trial is to learn whether an artificial intelligence (AI)-assisted skin assessment tool can improve the accuracy of pressure-injury staging in critical-care nurses. The study also aims to understand whether the AI tool increases nurses' knowledge and confidence in performing skin assessments. The main questions it aims to answer are:

Does AI-assisted assessment improve the accuracy of pressure-injury staging compared with standard visual assessment?

Does the use of AI improve nurses' knowledge and confidence related to skin assessment and pressure-injury staging?

Researchers will compare nurses who use an AI-assisted mobile application with nurses who perform standard manual assessments to see whether the AI tool improves staging accuracy and supports early identification of pressure injuries.

Participants will:

Complete brief questionnaires about their knowledge and confidence before and after training

Perform skin assessments on their assigned ICU patients using either standard methods or the AI tool.

Have their assessments compared with those of a blinded wound-care specialist, who will determine the most accurate staging

Eligibility criteria:
Inclusion criteria

* Nurses working within the organisation for at least 6 months
* Nurses involved in direct patient care for over 50% of their work time.
* Skin assessments and staging for patients at risk for developing pressure injuries (Using the Braden Scoring system).
* Adult Patients (18 years and older)
* Patients who are currently admitted to the ICU and are receiving critical care treatment.
* No current severe skin conditions patients without active severe dermatological conditions (e.g., large open wounds, severe rashes) that would interfere with the AI-based skin assessment process.

Exclusion criteria

* Nurses working within the organization for less than 6 months
* Nurses involved in direct patient care for less than 50% of their work time
* End-of-Life Care or Terminal Illness- patients receiving end-of-life care or those with a terminal diagnosis, where the prevention of pressure injuries may not be a priority and where participation in the study may not align with their care goals.
* Severe or active dermatological conditions- patients with active skin conditions such as severe rashes, burns, or other dermatological issues that could interfere with accurate skin assessments by AI or confound the study results.
* Recent Skin Grafts or Advanced Wound Care- patients who have recently undergone skin grafts or those receiving complex wound care treatments that are outside the scope of typical pressure injury prevention practices.
* Inability to Maintain Required Positioning for Skin Assessment- patients who are physically unable to remain in the necessary position for the skin assessments, either due to severe mobility restrictions or critical medical conditions.

Outcomes:
Agreement Between Nurse and Expert Skin Assessment and Pressure Injury Staging Using NPIAP Criteria