Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Dis Colon Rectum. 2010 Aug;53(8):1168-75. doi: 10.1007/DCR.0b013e3181d87468.
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.
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.
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%.
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.
患者报告的结果传统上通过纸质问卷收集。这个过程既耗费人力又耗费财力。本研究旨在评估使用平板电脑技术简化问卷录入流程并将患者报告的结果整合到电子健康记录中以便在护理点获取的可行性。
为结直肠疾病患者设计了基于响应的电子问卷。评估了该技术对临床工作流程和问卷应答率的影响。将类似时间段内纸质问卷应答率的历史数据与电子数据进行了比较。
2009 年 6 月至 7 月，共有 2 位外科医生的 103 次就诊，8 个诊日的数据被纳入研究。女性占样本的 69.7%，平均年龄为 49（18-84）岁。如果患者提前 30 分钟登记，82%的患者可以在预约时间完成表格。问卷应答率为 96%。分数自动计算并包含在电子健康记录中。中位数问卷完成时间为 15（四分位距，8-21）分钟。相反，在相同外科医生的 2 个月的历史数据采集期间，152 次就诊仅获得了 38 份纸质问卷，应答率为 25%。
使用平板电脑技术收集患者报告的结果并自动传输到电子图表中，并进行数据存储以供日后使用是可行的。这个过程可以克服纸质问卷带来的许多效率低下的问题。
