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PATIENT REPORTED OUTCOMES UTILIZING A MOBILE APPLICATION: A PILOT STUDY OF PATIENT ENGAGEMENT IN QUALITY IMPROVEMENT INITIATIVES
ESRA Academy. Dine A. Sep 8, 2016; 138572
Topic: PAIN THERAPY (ACUTE - CHRONIC)
Disclosure(s): Authors are employees of Halyard Health
Mr. Alan Dine
Mr. Alan Dine

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Abstract
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Background and Aims:

With the transition of inpatient to outpatient procedures, patient self-reporting mobile apps may offer monitoring of surgical outcomes,early detection and intervention in complications. Mobile technology allows for the collection of symptom and medication reports, eliminating costs of staffing resources for patient contact, data entry and reporting.  This technology may provide the ability for early detection, intervention in unrelieved symptoms in the outpatient setting preventing unnecessary suffering and reduce re-hospitalizations.
The objective of this study was to assess the feasibility of using mobile applications for the monitoring of post-operative quality of recovery in an ambulatory setting.

Methods:

Following patient consent, we enrolled 375 orthopedic surgical patients at 5 centers to use a computer based application (smartphone or web) daily to complete follow up questionnaires reviewing their pain, side effects, medication use, unplanned visits to the ER or hospital and satisfaction with their recovery. Patients were contacted with an email text alert pre-surgery (baseline), post-surgery and POD 1,2,3,7 and 30 and linked to a questionnaire on their device.

Results:

Of the 375 patients enrolled, 362 created initial login (96.5%) and 88% completed follow-up questionnaires for the study.

Conclusions:

Mobile platforms may provide real time clinical outcomes analytics monitoring the quality of recovery of post-operative patients,  providing clinicians the ability for early detection and intervention for unrelieved symptoms in the outpatient setting preventing unnecessary suffering and reducing re-hospitalization and providing increased patient satisfaction with care.    Future studies are needed to determine if this platform can provide anesthesiologists and surgeons a resource for management of ambulatory patients.

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