Feasibility of a Tablet Computer System to Collect Patient-reported Symptom Severity in Patients Undergoing Diagnostic Coronary Angiography
| Autor: | Eugene Pomerantsev, Robert W. Yeh, Peter Meyers, Neil Wagle, Jeffrey Bruckel, Josephine S. Elias, Sharon McKenna, Michael A. Fifer, Cashel O’Brien |
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| Rok vydání: | 2015 |
| Předmět: |
Coronary angiography
Chest Pain medicine.medical_specialty Health Status medicine.medical_treatment Population Coronary Angiography Revascularization Chest pain Severity of Illness Index Percutaneous Coronary Intervention Severity of illness medicine Humans Clinical significance Angina Stable education education.field_of_study business.industry Data Collection Medical record Percutaneous coronary intervention medicine.disease Patient Outcome Assessment Dyspnea Computers Handheld Emergency medicine Feasibility Studies Medical emergency medicine.symptom Cardiology and Cardiovascular Medicine business Software |
| Zdroj: | Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 14:139-145 |
| ISSN: | 1535-282X |
| DOI: | 10.1097/hpc.0000000000000058 |
| Popis: | BACKGROUND Percutaneous coronary intervention is the most commonly performed revascularization modality for chronic stable angina, but does not improve survival or reduce major adverse cardiovascular event. Percutaneous coronary intervention in this population is performed primarily for symptomatic benefit; therefore, symptom reduction is an important marker of quality. Patient-reported outcome measures (PROMs) have been developed for chest pain and dyspnea which are valid and responsive to treatment; however, they are not widely used in routine care. We present a model for use of PROMs in routine care. METHODS Partners Health System funded a tablet computer software platform to collect PROMs and include them in the medical record. We implemented this platform in the catheterization laboratory at Massachusetts General Hospital, targeting patients presenting for coronary angiography. Patients are assessed using the SAQ-7, the Rose dyspnea scale, the PHQ-2, and the PROMIS-10. We used a phased implementation, with the final program including preprocedure measurement, presentation of data to clinical providers, and follow up using an email platform. RESULTS We successfully captured measures from 474 patients, 53.5% of outpatient visits. Key success factors included high-level leadership support and resources, a user-friendly interface for patients and staff, easily interpretable measures, and clinical relevance. CONCLUSIONS We have demonstrated that routine capture of patient-reported symptom severity is technically feasible in a real-world care environment. We share our experiences to provide others with a model for similar programs, and to accelerate implementation nationwide by helping others avoid pitfalls. We believe expansion of similar programs nationally may lead to more robust quality infrastructure. |
| Databáze: | OpenAIRE |
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