Use of a patient completed iPad questionnaire to improve pre-operative assessment
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- 作者：M. Howell ; A. J. Hood ; D. G. Jayne
- 关键词：Surgery ; Mobile application ; Preoperative assessment ; Patient questionnaire ; Handheld computers ; Electronics
- 刊名：Journal of Clinical Monitoring and Computing
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：31
- 期：1
- 页码：221-225
- 全文大小：
- 刊物类别：Medicine
- 刊物主题：Anesthesiology; Intensive / Critical Care Medicine; Statistics for Life Sciences, Medicine, Health Sciences;
- 出版者：Springer Netherlands
- ISSN：1573-2614
- 卷排序：31
文摘
Developments in healthcare technology could improve patient care and reduce healthcare costs. There is a need to facilitate communication and increase efficiency in surgical pre-assessment clinics. This study aimed to develop an iPad application to deliver an electronic patient questionnaire, and to evaluate its use in the pre-assessment environment. Software was developed, MyOp, for a standard iPad that mirrored the paper-based pre-assessment system, with features designed for ease of patient use and remote data transfer. A case–control study was conducted, comparing use of MyOp with paper-based practice, to evaluate feasibility and patient preference. Patients were offered the use of MyOp or paper-based system. Outcomes measured included time to complete iPad questionnaire, consultation duration, and a patient preference questionnaire. MyOp cost £3500 to develop. 104 individuals participated in the study, 53 MyOp and 51 controls. MyOp reduced the median consultation duration by 5.00 min. A reduction was seen in all subgroups except those aged over 70 or urology patients. Patients preferred to complete the form independently, using a touchpad or computer but expressed concerns about data security. Use of an electronic patient questionnaire reduces consultation time delivering greater efficiency of pre-assessment nurse time. Preconceived ideas about the use of technology in older age groups are likely inaccurate and less of a barrier than previously thought. Electronic pre-assessments could be used routinely to reduce demands on healthcare facilities, improve patient care, and triage patients prior to clinic attendance.