Using Technology to Improve Data Capture and Integration of Patient-Reported Outcomes Into Clinical Care: Pilot Results in a Busy Colorectal Unit

被引:27
作者
Gurland, Brooke [1 ]
Alves-Ferreira, Patricia C. [1 ]
Sobol, Timothy [1 ]
Kiran, Ravi P. [1 ]
机构
[1] Cleveland Clin, Inst Digest Dis, Dept Colorectal Surg, Cleveland, OH 44106 USA
关键词
Electronic health record; Patient-reported outcomes; Information technology; QUALITY-OF-LIFE; INSTRUMENT; SCALE; INDEX;
D O I
10.1007/DCR.0b013e3181d87468
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
PURPOSE: Patient-reported outcomes are traditionally collected through paper questionnaires. This process is labor intensive and costly. The aim of this study was to assess the feasibility of using tablet computing technology to streamline the questionnaire intake process and integrate patient-reported outcomes into electronic health records for access at the point of care. METHODS: Response-driven electronic questionnaires for patients with colorectal disorders were designed. The impact of this technology on clinical workflow and questionnaire response rates was assessed. Historical data on paper questionnaire response rates over a similar time period were compared with the electronic data. RESULTS: From June through July 2009, data from 103 patient visits to 2 surgeons over 8 clinic days were included. Females comprised 69.7% of the sample with a median age of 49 (range, 18-84) years. When patients checked in 30 minutes early, 82% completed the forms by their scheduled visit time. The questionnaires response rate was 96%. Scores were calculated automatically and included in the electronic health record. Median questionnaire completion time was 15 (interquartile range, 8-21) minutes. Conversely, collection rates of historical data for the same surgeons over a 2-month period revealed that 152 patient visits yielded 38 paper questionnaires, a response rate of 25%. CONCLUSION: Collection of patient-reported outcomes by use of tablet technology and automatic transmission into the electronic chart with data storage for later use is feasible. This process can overcome many of the inefficiencies associated with paper questionnaires.
引用
收藏
页码:1168 / 1175
页数:8
相关论文
共 17 条
  • [11] The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function
    Rosen, R
    Brown, C
    Heiman, J
    Leiblum, S
    Meston, C
    Shabsigh, R
    Ferguson, D
    D'Agostino, R
    [J]. JOURNAL OF SEX & MARITAL THERAPY, 2000, 26 (02) : 191 - 208
  • [12] The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction
    Rosen, RC
    Riley, A
    Wagner, G
    Osterloh, IH
    Kirkpatrick, J
    Mishra, A
    [J]. UROLOGY, 1997, 49 (06) : 822 - 830
  • [13] U.S. Department of Health and Human Services FDA Center for Drug Evaluation and Research, 2006, Health Qual Life Outcomes, V4, P79
  • [14] The constipation severity instrument: A validated measure
    Varma, Madhulika G.
    Wang, Jennifer Y.
    Berian, Julia R.
    Patterson, Taryn R.
    McCrea, G. Lindsay
    Hart, Stacey L.
    [J]. DISEASES OF THE COLON & RECTUM, 2008, 51 (02) : 162 - 172
  • [15] Automated collection of quality-of-life data: A comparison of paper and computer touch-screen questionnaires
    Velikova, G
    Wright, EP
    Smith, AB
    Cull, A
    Gould, A
    Forman, D
    Perren, T
    Stead, M
    Brown, J
    Selby, PJ
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1999, 17 (03) : 998 - 1007
  • [16] WILLIAMS A, 1990, HEALTH POLICY, V16, P199
  • [17] 2009, HLTH LEVEL 7 HL7