Université Rennes, CHU Rennes, Pôle Anesthésie-Samu-Urgences-Réanimations, F-35033, Rennes, France.
Université Rennes, INSERM, INRA, CIC 1414, Numecan, CHU Rennes, Pôle Anesthésie-Samu-Urgences-Réanimations, 2 Rue Henri Le Guilloux, 35033, Rennes Cedex 9, France.
J Med Syst. 2019 Jun 6;43(7):217. doi: 10.1007/s10916-019-1278-5.
Ambulatory surgery has grown to be the most common procedure in developed countries. Efficient quality of care and safety often require calling patient at day one after outpatient surgery to check patient's recovery and search for complications. This increasing flow in same day surgery centres motivates the use of automatic systems to contact patients. The overall objective of this study was to evaluate automated software sending text messages (TM) to patients at day 1 after ambulatory surgery compared to classical phone calls. This prospective study took place in Rennes Teaching Hospital, France, from June 1st, 2015 to December 15th, 2016. All patients owning a mobile phone were included, adults and children by means of their parents. The primary end point was the rate of successfully contacted patients, compared to usual phone calls in 2014. In cases of no response or an abnormal response, an automatic alert was sent to the ambulatory unit. Within the 7246 patients included, response rate to TM was significantly higher than response to phone calls in 2014 (87% vs 57%, respectively p < 0.0001). Most patients (85%) responded in less than 60 min. The TM algorithm detected 36% alerts (12% for lack of response to TM and 24% for TM's content). The total of reached patients' rate with TM and then phone call after an alert was 90%. Post ambulatory discharge follow-up using automated TM was successfully and easily experienced as more patients were contacted.
在发达国家，门诊手术已成为最常见的手术。高效的护理质量和安全性通常需要在门诊手术后的第一天致电患者，以检查患者的恢复情况并寻找并发症。同一日手术中心的患者流量增加，这促使使用自动系统来联系患者。本研究的总体目标是评估在门诊手术后第一天向患者发送文本消息 (TM) 的自动化软件与传统电话相比的效果。这项前瞻性研究于 2015 年 6 月 1 日至 2016 年 12 月 15 日在法国雷恩教学医院进行。所有拥有手机的患者，包括成人和儿童，都通过其父母纳入研究。主要终点是与 2014 年的常规电话相比，成功联系到患者的比例。在没有响应或异常响应的情况下，自动向门诊病房发送警报。在纳入的 7246 例患者中，TM 的响应率明显高于 2014 年的电话响应率（分别为 87%和 57%，p<0.0001）。大多数患者（85%）在 60 分钟内做出了响应。TM 算法检测到 36%的警报（12%是由于对 TM 无响应，24%是由于 TM 的内容）。通过 TM 和警报后的电话联系到的患者总数为 90%。使用自动化 TM 进行门诊出院后随访，联系到的患者更多，且这种方法成功且易于实施。
