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

Tarig Osman, Eileen Lew, Elaine Lum, Jennifer Chew, Rajive Dabas, Ban Leong Sng and Josip Car
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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
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

IJERPH, 2020, vol. 17, issue 14, 1-10

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.

Keywords: preanaesthesia assessment; questionnaire; digital health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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