Ryu Borim, Kim Seok, Lee Kee-Hyuck, Hwang Hee, Yoo Sooyoung
Center for Medical Informatics, Seoul National University Bundang Hospital, South Korea; Department of Biomedical Engineering, College of Medicine, Seoul National University, South Korea.
Center for Medical Informatics, Seoul National University Bundang Hospital, South Korea.
Int J Med Inform. 2016 Nov;95:35-42. doi: 10.1016/j.ijmedinf.2016.09.003. Epub 2016 Sep 9.
Bedside stations, also known as bedside terminals, are in place to enhance the quality and experience of a hospital's healthcare service delivery. The purpose of this study was to identify information needs and overall satisfaction with the personalized patient bedside system, called Smart Bedside Station (SBS) system, embedded in a tertiary general university hospital.
End-user responses on the satisfaction survey and system usage logs of the SBS system were collected and analyzed. For the user opinion survey, 156 nurses and 1914 patients, their family members, or caregivers participated during the evaluation period of 2013 to 2014 in this study. All working nurses in the SBS-installed ward were answered the paper-based evaluation, for complete enumeration survey. Inpatients were voluntary participated to deliver the online questionnaire on the SBS menu. We also explored system log data including page calls and usage time from December 2013 to 2015.
Regarding the relationship of overall satisfaction of the SBS with patient's characteristics, patient's education status and degree of familiarity with the smart device were statistically significant. From the analysis of system logs, Personalized My Menu(28.0%) was the most frequently used menu item (except for TV and Internet entertainment service use of 62.7%),it provides individual health information, such as laboratory test results, hospital fee check, message logs, daily medication information, and meal information. Next frequently used menus were information support(4.9%) which deliver hospital guide and health information and convenience service ordering(4.4%) such as meal order, bed sheet change. Satisfaction survey results and log data results show that the personalized service enhances the user satisfaction during hospital admission.
Our post-implementation experience and subsequent assessment of SBS system is capable of providing insights into improving the hospital information system and service contents for patient-centered services. Further research should be directed at developing sophisticated patient-centered services as a communication tool between the hospital and the patient.
床边工作站，也称为床边终端，旨在提高医院医疗服务提供的质量和体验。本研究的目的是确定对一所三级综合大学医院中嵌入的个性化患者床边系统——智能床边工作站（SBS）系统的信息需求和总体满意度。
收集并分析了最终用户对SBS系统满意度调查和系统使用日志的回复。对于用户意见调查，在2013年至2014年的评估期间，有156名护士以及1914名患者、其家属或护理人员参与了本研究。在安装了SBS的病房中，所有在职护士都回答了纸质评估问卷，进行全面普查。住院患者自愿参与，就SBS菜单提供在线问卷。我们还探索了2013年12月至2015年期间的系统日志数据，包括页面调用和使用时间。
关于SBS的总体满意度与患者特征的关系，患者的教育状况和对智能设备的熟悉程度具有统计学意义。从系统日志分析来看，个性化我的菜单（28.0%）是最常使用的菜单项（电视和互联网娱乐服务使用比例为62.7%除外），它提供个人健康信息，如实验室检查结果、医院费用查询、消息记录、每日用药信息和饮食信息。接下来常用的菜单是提供医院指南和健康信息的信息支持（4.9%）以及诸如订餐、更换床单等便利服务订购（4.4%）。满意度调查结果和日志数据结果表明，个性化服务提高了患者住院期间的用户满意度。
我们对SBS系统实施后的经验及后续评估能够为改进医院信息系统和以患者为中心的服务内容提供见解。进一步的研究应致力于开发复杂的以患者为中心的服务，作为医院与患者之间的沟通工具。
