利用移动技术提高治疗同意流程的效率。

Leveraging Mobile Technology to Improve Efficiency of the Consent-to-Treatment Process.

作者信息

Chhin Veng, Roussos Jerry, Michaelson Terry, Bana Mazaheer, Bezjak Andrea, Foxcroft Sophie, Hamilton Jasmine L, Liu Fei-Fei

机构信息

All authors: Princess Margaret Cancer Centre; Andrea Bezjak and Fei-Fei Liu, University of Toronto, Toronto, Ontario, Canada.

出版信息

JCO Clin Cancer Inform. 2017 Nov;1:1-8. doi: 10.1200/CCI.17.00041.

DOI:10.1200/CCI.17.00041

PMID:30657388

Abstract

PURPOSE

This study reports on the implementation of an electronic consent-to-treatment system (e-Consent) in a busy radiation medicine program and compares it with the previous paper-based method of documenting patient consent.

METHODS

A password-protected, electronic, e-Consent application was designed in-house and installed on iPad devices to document patient consent for radiation therapy treatments. A feasibility study, followed by a program-wide deployment of e-Consent, was executed. The effectiveness and impact of e-Consent on workflow were determined by comparing the number of problems arising from the paper-based consenting method with those from the e-Consent process. Staff satisfaction and perceived impact of e-Consent on workflow were determined by a program-wide survey of e-Consent users.

RESULTS

The e-Consent completion rate was 94.2% (5,600 of 5,943 forms) 1 year after implementation, indicating successful uptake at the program level. Although the paper-based method of documenting patient consent was associated with an error rate of 7% (24 of 343 forms), e-Consent was associated with an error rate of 0.32% (18 of 5,600 forms) 1 year after deployment. Results of a 10-item e-Consent user survey indicated improvement in staff workflow and high overall satisfaction with e-Consent.

CONCLUSION

e-Consent is more efficient than paper-based methods for documenting patient consent. Moreover, replacing paper-based consent methods with an electronic version facilitated an improved workflow and staff satisfaction. Efforts aimed at implementing e-Consent throughout the entire cancer program are currently underway.

摘要

目的

本研究报告了在一个繁忙的放射医学项目中实施电子治疗同意书系统（电子同意书）的情况，并将其与之前基于纸质文档记录患者同意书的方法进行比较。

方法

内部设计了一个受密码保护的电子同意书应用程序，并安装在iPad设备上，用于记录患者对放射治疗的同意书。先进行了可行性研究，随后在整个项目中部署电子同意书。通过比较基于纸质同意书方法和电子同意书流程中出现的问题数量，确定电子同意书对工作流程的有效性和影响。通过对电子同意书用户进行全项目范围的调查，确定工作人员对电子同意书的满意度及其对工作流程的感知影响。

结果

实施1年后，电子同意书的完成率为94.2%（5943份表格中的5600份），表明在项目层面成功采用。虽然基于纸质文档记录患者同意书的方法错误率为7%（343份表格中的24份），但部署1年后，电子同意书的错误率为0.32%（5600份表格中的18份）。一项包含10个项目的电子同意书用户调查结果显示，工作人员的工作流程得到改善，对电子同意书的总体满意度较高。