Corrigan Mark A, McHugh Seamus M, Murphy Rory K J, Dhillon Paul, Shah Abid, Hennessy Immanuel, Sheikh Athar, Lehane Elaine, Hill Arnold S K
Beaumont Hospital, Dublin, Ireland.
Surg Innov. 2011 Dec;18(4):354-7. doi: 10.1177/1553350611403771. Epub 2011 Apr 25.
Currently, 175,000 people are on outpatient waiting lists in Irish hospitals. Many clinic slots are taken by patients returning for routine review postoperatively.
A Nokia mobile phone was used to send an outpatient text (OPT) to patients 2 weeks postdischarge. Patients replying that they were well were discharged. If no reply after 2 attempts was received, they were scheduled for the next outpatient clinic.
Overall, 55 patients were offered the service over a 4-month period. Of these, 74.5% of patients were discharged from follow-up using text message surveillance. Patients were surveyed regarding their perception of the surveillance model, with all respondents ranking OPT surveillance as their preferred method of follow-up. There was a 13.6% decrease in outpatient visits over the study period. In addition, 6 emergency department visits were also avoided.
Text message surveillance decreases outpatient waiting times and increases quality of care.
目前,爱尔兰医院有17.5万人在门诊候诊名单上。许多门诊时段被术后回来进行常规复查的患者占用。
使用诺基亚手机在患者出院两周后向其发送门诊短信(OPT)。回复表示身体状况良好的患者即可出院。如果两次尝试后仍未收到回复,他们将被安排到下一次门诊就诊。
在4个月的时间里,共有55名患者接受了这项服务。其中,74.5%的患者通过短信监测得以结束随访。就患者对监测模式的看法进行了调查,所有受访者都将OPT监测列为他们首选的随访方式。在研究期间,门诊就诊次数减少了13.6%。此外,还避免了6次急诊就诊。
短信监测可减少门诊等待时间并提高护理质量。