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Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Author

Listed:
  • Tarig Osman

    (Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore)

  • Eileen Lew

    (Department of Women’s Anaesthesia, KK Women’s and Children’s Hospital, Singapore 229899, Singapore)

  • Elaine Lum

    (Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore
    Health Services and Systems Research, Duke-NUS Medical School Singapore 169857, Singapore)

  • Jennifer Chew

    (Department of Women’s Anaesthesia, KK Women’s and Children’s Hospital, Singapore 229899, Singapore)

  • Rajive Dabas

    (Department of Women’s Anaesthesia, KK Women’s and Children’s Hospital, Singapore 229899, Singapore)

  • Ban Leong Sng

    (Department of Women’s Anaesthesia, KK Women’s and Children’s Hospital, Singapore 229899, Singapore)

  • Josip Car

    (Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore
    Global eHealth Unit, Department of Primary Care and Public Health, School of Public Health, Imperial College London, London SW7 2AZ, UK)

Abstract

Preanaesthesia health assessment is gradually transitioning from paper-based, face-to-face assessment to digitized assessment, self-administered by the patient. This transition could potentially optimize the various goals of assessment, notably facilitating the efficient collection of the patient’s health information. We have previously developed and validated a tablet application (PreAnaesThesia Computerized Health assessment application or “PATCH”) for patients to conduct preanaesthesia self-assessment. In a randomized controlled trial, we sought to compare the duration of nurse–patient consultation and patient satisfaction between patients who underwent PATCH self-assessment vs. standard care nurse-led assessment. Fifty-two elective surgical patients were randomized to complete either PATCH assessment or standard care nurse-led assessment at an outpatient preoperative clinic. The duration of nurse–patient consultation was subsequently noted for all patients who also completed a satisfaction survey. The mean (SD) nurse–patient consultation times in the PATCH and standard care groups were comparable, at 11.5 (3.6) min and 12.2 (2.9) min, respectively ( p = 0.703). Overall satisfaction scores were also comparable, at 23.9 and 27.0 respectively ( p = 0.451) for the PATCH and standard nurse assessment groups. Favorable perceptions of PATCH among users ranged between 41.7% and 79.2%. In conclusion, PATCH self-assessment can feasibly be introduced into current practice with comparable nurse–patient consultation times and patient satisfaction.

Suggested Citation

  • Tarig Osman & Eileen Lew & Elaine Lum & Jennifer Chew & Rajive Dabas & Ban Leong Sng & Josip Car, 2020. "Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial," IJERPH, MDPI, vol. 17(14), pages 1-10, July.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4972-:d:382754
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