The E-Viewer Study

2020 ◽  
pp. 183-190
Author(s):  
Nilmini Wickramasinghe ◽  
Louise O'Connor ◽  
Jeremy Grummet
Keyword(s):  
Patient Satisfaction ◽  
Standard Care ◽  
Pilot Test ◽  
Management Decisions ◽  
Delay Management ◽  
Current Process ◽  
Admission Standard ◽  
Ward Rounds

For patients undergoing surgery in a multi-day admission, standard care requires that their surgeon review the patient post-operatively to check on their progress. This is usually done by the specialist attending in person. However, in the Australian setting, most specialists work at multiple institutions. As a result, review ward rounds, especially of post-operative patients, can be delayed, which can delay management decisions and discharge, which in turn may lower patient satisfaction. A telemedicine solution is designed, and results from a pilot test are examined to assess the benefits of incorporating an electronic discharge capability into the current process.

The E-Viewer Study

2021 ◽  
pp. 447-454
Author(s):  
Nilmini Wickramasinghe ◽  
Louise O'Connor ◽  
Jeremy Grummet
Keyword(s):  
Patient Satisfaction ◽  
Standard Care ◽  
Pilot Test ◽  
Management Decisions ◽  
Delay Management ◽  
Current Process ◽  
Admission Standard ◽  
Ward Rounds

For patients undergoing surgery in a multi-day admission, standard care requires that their surgeon review the patient post-operatively to check on their progress. This is usually done by the specialist attending in person. However, in the Australian setting, most specialists work at multiple institutions. As a result, review ward rounds, especially of post-operative patients, can be delayed, which can delay management decisions and discharge, which in turn may lower patient satisfaction. A telemedicine solution is designed, and results from a pilot test are examined to assess the benefits of incorporating an electronic discharge capability into the current process.

Effect of an Essential Oil Mixture on Skin Reactions in Women Undergoing Radiotherapy for Breast Cancer

2014 ◽  
Vol 32 (4) ◽  
pp. 290-303 ◽  
Author(s):  
Margo A. Halm ◽  
Clarice Baker ◽  
Val Harshe
Keyword(s):  
Breast Cancer ◽  
Patient Satisfaction ◽  
Essential Oil ◽  
Standard Care ◽  
Effect Sizes ◽  
Medium Effect ◽  
Breast Cancer Patients ◽  
Skin Reactions

Purpose:This pilot study compared the effects of an essential oil mixture versus standard care on skin reactions in breast cancer patients receiving radiation. Method: Using an experimental design, 24 patients were randomized to standard care (i.e., RadiaPlexRx™ ointment) or an essential oil mixture. Products were applied topically three times a day until 1 month postradiation. Weekly skin assessments were recorded and women completed patient satisfaction and quality of life (QOL) instruments at 3-, 6-, and 10-week intervals. Results: No significant differences were found for skin, QOL, or patient satisfaction at interim or follow-up time points. Effect sizes were as follows: skin = .01 to .07 (small-medium effect); QOL = .01 to .04 (small effect); patient satisfaction = .02 (small effect). Conclusion: The essential oil mixture did not provide a better skin protectant effect than standard care. These findings suggest the essential oil mixture is equivalent to RadiaPlexRx, a common product used as standard care since it has been shown to be effective in protecting skin from radiation. Thus, this pilot provides evidence to support botanical or nonpharmaceutical options for women during radiotherapy for breast cancer.

scholarly journals 670 Assessing Patient Satisfaction of the Fast-track Pathway to Pancreatic Resection

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Lambe ◽  
K Roberts ◽  
S Powell-Brett ◽  
M Pustula
Keyword(s):  
Patient Satisfaction ◽  
Pancreatic Resection ◽  
Standard Care ◽  
Fast Track ◽  
Preoperative Biliary Drainage ◽  
Emotional Impact ◽  
Included Patient ◽  
Significant Difference ◽  
Negative Effect ◽  
New Diagnosis

Abstract Introduction The ‘fast-track’ pathway to pancreatic resection is a straight to surgery approach that avoids potentially harmful preoperative biliary drainage. A possible criticism is that the shortened time span from diagnosis to surgery makes it more difficult for patients to adjust to their new diagnosis and mentally prepare for surgery. The emotional impact that ‘fast-track’ surgery has on patients has never been assessed. This study evaluated patient satisfaction of the ‘fast-track’ pathway compared to standard care. Method 23 consecutive patients undergoing pancreatic resection between December 2019 and March 2020 at the QEHB were included. Patient were assigned to ‘fast-track’ (N = 12) or standard care (N = 11) pathways and satisfaction was assessed via a standardised, clinician supervised questionnaire using Likert scales to grade satisfaction. Results There was no significant difference in patient satisfaction between patients on the ‘fast-track’ pathway and patients undergoing standard care (p > 0.05). Satisfaction levels were high for both cohorts, with 91.97% of responses rated as ‘Good’ or ‘Outstanding’. Conclusions The ‘fast-track’ pathway does not have a negative effect on patient satisfaction and therefore, emotional impact should not be a barrier to implementing this pathway nationally.

Role of Telemedicine in Inflammatory Bowel Disease: a Systematic Review and Meta-analysis of Randomized Clinical Trials (Preprint)

2021 ◽  
Author(s):  
Lanlan Pang ◽  
Heng-Yu Liu ◽  
Zhidong Liu ◽  
Jingyu Tan ◽  
Loungyuan Zhou ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Patient Satisfaction ◽  
Medication Adherence ◽  
Standard Care ◽  
Remission Rate ◽  
Meta Analysis ◽  
Care Group ◽  
Standard Care Group ◽  
Inflammatory Bowel ◽  
Clinic Visits

BACKGROUND Telemedicine plays an important role in the management of patients with inflammatory bowel disease (IBD), which is especially evident during the pandemic such as COVID-19. However, the exact effectiveness and efficiency of telemedicine in managing IBD is unclear. OBJECTIVE We aimed to compare the impact of telemedicine on management of IBD patients with the standard care. METHODS We systematically searched the PubMed, Cochrane Library, EMBASE, Web of Science, and Scopus (search date April 22, 2020). Randomized controlled trials (RCTs) comparing telemedicine with standard care in IBD patients were included, while conference abstracts, letters, reviews, laboratory studies, or case reports were excluded. The IBD-specific quality of life (QoL), disease activity and remission rate of IBD patients were assessed as primary outcomes, and the number of clinic visits per patient, patient satisfaction, psychological outcome, and medication adherence were regarded as secondary outcomes. The Review Manage 5.3 and Stata 15.1 were used for the data analysis. RESULTS 17 RCTs (n=2571 participants) were included in this meta-analysis. The telemedicine group had higher IBD-specific QoL than the standard care group [standard mean difference (SMD) 0.18, 95% confidence interval (CI) 0.01 to 0.34，P=0.03)]. Furthermore, the number of clinic visits per patient in the telemedicine group was significantly lower than that in the standard care group (SMD -0.71, 95%CI -1.07 to -0.36, P<0.0001). Subgroup analysis showed that adolescents had a significantly higher IBD-specific QoL in telemedicine group than that in standard care group (SMD 0.42, 95%CI 0.15 to 0.69, I2=0%, P=0.002), while there was no significant differences between two groups among adults. There were no significant differences in disease activity, remission rate, patient satisfaction, depression, self-efficacy, generic QoL, and medication adherence outcomes between telemedicine and standard care group. CONCLUSIONS Telemedicine intervention showed a promising role in improving IBD-specific QoL among adolescents and decreased the number of clinic visits of IBD patients. Further researches are warranted to identify the ideal group of IBD patients who could benefit from telemedicine most.

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

2020 ◽  
Vol 17 (14) ◽  
pp. 4972 ◽  
Author(s):  
Tarig Osman ◽  
Eileen Lew ◽  
Elaine Lum ◽  
Jennifer Chew ◽  
Rajive Dabas ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Standard Care ◽  
Controlled Trial ◽  
Pilot Trial ◽  
Health Assessment ◽  
Self Assessment ◽  
Care Nurse ◽  
Face To Face ◽  
Care Groups ◽  
Patient Consultation

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.

The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma

2001 ◽  
Vol 27 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Paula Tanabe ◽  
Ronald Thomas ◽  
Judith Paice ◽  
Mary Spiller ◽  
Richard Marcantonio
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Standard Care ◽  
Musculoskeletal Trauma

scholarly journals Simulation of the Impact on the Workload of the Enlargement of the Clinical Staff of a Specialistic Reference Center

2021 ◽  
Author(s):  
Noemi Giordano ◽  
Samanta Rosati ◽  
Federica Valeri ◽  
Alessandra Borchiellini ◽  
Gabriella Balestra
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Standard Care ◽  
High Standard ◽  
Clinical Staff ◽  
Agent Based ◽  
Reference Center ◽  
The Impact ◽  
Staff Workload

Quality of care and patient satisfaction are important aspects of high standard care. If clinical staff is subject to an elevated workload there is a possible decrease of both. This justifies the development of tools to quantify the workload and to find organizational changes that will normalize it. We have previously developed a simulation system to quantify the workload of the staff working in a regional reference center for the treatment of bleeding and hemorrhagic disorders. The goal of this new work is to simulate, through an agent-based model, the impact of adding a physician to the staff. Ten sets of initial parameters were defined to simulate ten typical weeks. Results show that the introduction of the new physician together with a second ambulatory room can reduce the workload of all the staff to the expected 8-hour. In this situation, in which the staff workload does not exceed the daily capacity, we may suppose that an increase in the quality of care and patient satisfaction will be possible.

scholarly journals Virtual Reality for PEripheral Regional Anesthesia (VR-PERLA Study)

2020 ◽  
Vol 9 (1) ◽  
pp. 215 ◽  
Author(s):  
Camille Alaterre ◽  
Baptiste Duceau ◽  
Eileen Sung Tsai ◽  
Siham Zriouel ◽  
Francis Bonnet ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Patient Satisfaction ◽  
Regional Anesthesia ◽  
Standard Care ◽  
Satisfaction Score ◽  
Anxiety Reduction ◽  
Care Group ◽  
Hemodynamic Changes ◽  
Upper Limb Surgery ◽  
Patient Reported

When used as an add-on to regional anesthesia, virtual reality (VR) has been reported to provide anxiety-reducing benefits and sedation-sparing effects. However, its impact on patient satisfaction is still a matter of controversy. We investigated the feasibility and benefits of implementing intraoperative VR distraction in a French University Hospital (Hôpital Saint-Antoine, AP-HP). This monocentric observational before–after study included 100 patients who underwent ambulatory upper limb surgery under peripheral nerve block in January 2019, 50 before and 50 after implementation of an intraoperative VR distraction protocol. Primary outcome was patient self-rated satisfaction score evaluated right after surgery. Secondary outcomes included 2-month patient-reported satisfaction score, perioperative self-rated anxiety and intraoperative hemodynamic changes. Compared to former standard care, VR distraction was associated with significantly higher postoperative satisfaction scores (10 [IQR 9; 10] vs. 9 [8; 10], p < 0.001) still reported two months after surgery (10 [10;10] vs. 10 [8.5;10], p = 0.06). Patient median intraoperative anxiety score was lower in the VR group, compared to Standard Care group (0 [0; 2] vs. 3 [0.25; 7], p < 0.001), and occurrence of intraoperative hemodynamic changes was also lessened in the VR group (2% vs. 16%, 0R = 0.11[95% CI 0.002–0.87], p = 0.031). The present findings suggest that VR distraction program in the operating room could effectively improve patient satisfaction with anxiety-reduction and hemodynamic benefits.

scholarly journals Delayed Effect of Acupuncture Treatment in OA of the Knee: A Blinded, Randomized, Controlled Trial

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Ehud Miller ◽  
Yair Maimon ◽  
Yishai Rosenblatt ◽  
Anat Mendler ◽  
Avi Hasner ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Elderly Patients ◽  
Standard Care ◽  
Acupuncture Treatment ◽  
Intervention Group ◽  
Sham Acupuncture ◽  
Future Research ◽  
Control Group ◽  
Knee Score ◽  
Randomized Controlled

To assess the efficacy in providing improved function and pain relief by administering 8 weeks of acupuncture as adjunctive therapy to standard care in elderly patients with OA of the knee. This randomized, controlled, blinded trial was conducted on 55 patients with OA of the knee. Forty-one patients completed the study (26 females, 15 males, mean age ± SD 71.7 ± 8.6 years). Patients were randomly divided into an intervention group that received biweekly acupuncture treatment (n= 28) and a control group that received sham acupuncture (n= 27), both in addition to standard therapy, for example, NSAIDS, cyclooxygenase-2 inhibitors, acetaminophen, intra-articular hyaluronic acid and steroid injections. Primary outcomes measures were changes in the Knee Society Score (KSS) knee score and in KSS function and pain ratings at therapy onset, at 8 weeks (closure of study) and at 12 weeks (1 month after last treatment). Secondary outcomes were patient satisfaction and validity of sham acupuncture. There was significant improvement in all three scores in both groups after 8 and 12 weeks compared with baseline (P< .05). Significant differences between the intervention and control groups in the KSS knee score (P= .036) was apparent only after 12 weeks. Patient satisfaction was higher in the intervention group. Adjunctive acupuncture treatment seems to provide added improvement to standard care in elderly patients with OA of the knee. Future research should determine the optimal duration of acupuncture treatment in the context of OA.

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