背景:电子纸(E-paper)屏幕使用电泳墨水来提供具有高级联网能力的纸状低功率显示器,所述高级联网能力可潜在地用作医院环境中的传统白板和电视显示屏的替代物。急诊室(ED)可以利用电子纸来促进沟通。在电子纸屏幕上提供ED患者状态更新可以提高患者满意度和整体体验,并提供更公平的健康信息访问。
目的:我们的目的是使用电子纸制作面向患者的数字白板,向ED患者实时显示相关的方向和临床信息。我们还试图评估患者干预后的满意度,并了解患者对数字白板对住院影响的总体看法。
方法:我们在市区的4个房间中部署了41英寸电子纸数字白板,三级护理,和学术ED,并招募了110名患者,以了解和评估他们的经验。参与者完成了修改后的医院消费者对医疗保健提供者和系统满意度评估问卷,以了解他们的ED停留时间。我们比较了与对照组相匹配的患者的反应,这些患者被分诊到没有数字白板的ED室。我们根据各个部门利益相关者的迭代反馈设计了数字白板。在建立IT基础架构以支持项目之后,我们在方便的基础上将患者纳入对照组和干预组(数字白板).对参与者进行了基线调查,以评估他们对技术的舒适度,并进行了退出调查,以评估他们对数字白板和整体ED满意度的看法。进行统计分析以比较基线特征以及满意度。
结果:在成功原型设计和实施4个数字白板之后,我们筛选了471例纳入患者.我们招募了110名患者,每组50例患者(对照和干预)完成了研究方案。年龄,性别,种族和族裔组成在群体之间相似。当患者被问及有关延误的沟通(P=.03)和出院后该怎么做(P=.02)时,我们发现访视后调查的满意度显着提高。我们发现,干预组的患者更有可能向家人和朋友推荐该设施(P=0.04)。此外,96%(48/50)表示他们更喜欢带有数字白板的房间,70%(35/50)发现干预“相当多”或“非常”有助于理解他们的ED停留。
结论:数字白板是在ED中显示面向患者的数据的可行且可接受的方法。我们的飞行员建议电子纸屏幕加上相关的,实时临床数据和包装在一起的数字白板可能会对患者满意度和ED访视期间对设施的感知产生积极影响。需要进一步研究以充分了解对患者满意度和体验的影响。
背景:ClinicalTrials.govNCT04497922;https://clinicaltrials.gov/ct2/show/NCT04497922。
BACKGROUND: Electronic paper (E-paper) screens use electrophoretic ink to provide paper-like low-power displays with advanced networking capabilities that may potentially serve as an alternative to traditional whiteboards and television display screens in hospital settings. E-paper may be leveraged in the emergency department (ED) to facilitate communication. Providing ED patient status updates on E-paper screens could improve patient satisfaction and overall experience and provide more equitable access to their health information.
OBJECTIVE: We aimed to pilot a patient-facing digital whiteboard using E-paper to display relevant orienting and clinical information in real time to ED patients. We also sought to assess patients\' satisfaction after our intervention and understand our patients\' overall perception of the impact of the digital whiteboards on their stay.
METHODS: We deployed a 41-inch E-paper digital whiteboard in 4 rooms in an urban, tertiary care, and academic ED and enrolled 110 patients to understand and evaluate their experience. Participants completed a modified Hospital Consumer Assessment of Health Care Provider and Systems satisfaction questionnaire about their ED stay. We compared responses to a matched control group of patients triaged to ED rooms without digital whiteboards. We designed the digital whiteboard based on iterative feedback from various departmental stakeholders. After establishing IT infrastructure to support the project, we enrolled patients on a convenience basis into a control and an intervention (digital whiteboard) group. Enrollees were given a baseline survey to evaluate their comfort with technology and an exit survey to evaluate their opinions of the digital whiteboard and overall ED satisfaction. Statistical analysis was performed to compare baseline characteristics as well as satisfaction.
RESULTS: After the successful prototyping and implementation of 4 digital whiteboards, we screened 471 patients for inclusion. We enrolled 110 patients, and 50 patients in each group (control and intervention) completed the
study protocol. Age, gender, and racial and ethnic composition were similar between groups. We saw significant increases in satisfaction on postvisit surveys when patients were asked about communication regarding delays (P=.03) and what to do after discharge (P=.02). We found that patients in the intervention group were more likely to recommend the facility to family and friends (P=.04). Additionally, 96% (48/50) stated that they preferred a room with a digital whiteboard, and 70% (35/50) found the intervention \"quite a bit\" or \"extremely\" helpful in understanding their ED stay.
CONCLUSIONS: Digital whiteboards are a feasible and acceptable method of displaying patient-facing data in the ED. Our pilot suggested that E-paper screens coupled with relevant, real-time clinical data and packaged together as a digital whiteboard may positively impact patient satisfaction and the perception of the facility during ED visits. Further
study is needed to fully understand the impact on patient satisfaction and experience.
BACKGROUND: ClinicalTrials.gov NCT04497922; https://clinicaltrials.gov/ct2/show/NCT04497922.