Patient-completed, preoperative web-based anaesthetic assessment questionnaire (electronic Personal Assessment Questionnaire PreOperative)

Goodhart, Iain; Andrzejowski, J.; Jones, Georgina; Berthoud, M.; Dennis, Andy; Mills, Gary H.; Radley, Stephen

doi:10.1097/eja.0000000000000545

Cited by 29 publications

(41 citation statements)

References 20 publications

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“…Our patients’ perceptions of PATCH assessment were generally favorable and similar to those reported in other studies [ 15 , 16 , 18 , 23 ]. Although studies may not always indicate the specific aspects of perception assessed, [ 20 ] we have sought to measure PATCH’s acceptability by the patients’ willingness to conduct digitized self-assessment in the future and remotely.…”

Section: Discussionsupporting

confidence: 88%

Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Osman

Lew

Lum

et al. 2020

IJERPH

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Preanaesthesia health assessment is gradually transitioning from paper-based, face-to-face assessment to digitized assessment, self-administered by the patient. This transition could potentially optimize the various goals of assessment, notably facilitating the efficient collection of the patient’s health information. We have previously developed and validated a tablet application (PreAnaesThesia Computerized Health assessment application or “PATCH”) for patients to conduct preanaesthesia self-assessment. In a randomized controlled trial, we sought to compare the duration of nurse–patient consultation and patient satisfaction between patients who underwent PATCH self-assessment vs. standard care nurse-led assessment. Fifty-two elective surgical patients were randomized to complete either PATCH assessment or standard care nurse-led assessment at an outpatient preoperative clinic. The duration of nurse–patient consultation was subsequently noted for all patients who also completed a satisfaction survey. The mean (SD) nurse–patient consultation times in the PATCH and standard care groups were comparable, at 11.5 (3.6) min and 12.2 (2.9) min, respectively (p = 0.703). Overall satisfaction scores were also comparable, at 23.9 and 27.0 respectively (p = 0.451) for the PATCH and standard nurse assessment groups. Favorable perceptions of PATCH among users ranged between 41.7% and 79.2%. In conclusion, PATCH self-assessment can feasibly be introduced into current practice with comparable nurse–patient consultation times and patient satisfaction.

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Section: Discussionsupporting

confidence: 88%

Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Osman

Lew

Lum

et al. 2020

IJERPH

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“…All the nurse practitioners employed have undergone a postgraduate course and been awarded a university diploma in pre-operative assessment. Our previous work has shown them to be as accurate as consultant anaesthetists and ePAQ-PO in allocation of ASA status [ 15 ]. The nurses follow the NG45 guidelines published by the National Institute for Health and Care Excellence (NICE) on which investigations to order in all patients [ 18 ].…”

Section: Methodsmentioning

confidence: 99%

“…In response to this need, we have developed and validated an electronic pre-operative assessment questionnaire, ePAQ-PO® (ePAQ, Sheffield, UK) [ 15 ]. This is completed by the patient at a desktop computer or an online program, and using a series of structured questions, takes a full medical history.…”

Section: Introductionmentioning

confidence: 99%

“…Physical examination and airway evaluation is not carried out in our department in the cohort of patients undergoing ePAQ-PO evaluation. Although ePAQ-PO has been shown to be as accurate as clinicians at predicting ASA score, and is reliable and easy for patients to complete [ 15 ], hitherto evidence has been lacking regarding its impact on care pathways.…”

Section: Introductionmentioning

confidence: 99%

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A prospective observational study of the impact of an electronic questionnaire (ePAQ-PO) on the duration of nurse-led pre-operative assessment and patient satisfaction

et al. 2018

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ObjectiveStandard pre-operative assessment at our institution involves a comprehensive history and examination by a nurse practitioner. An electronic pre-operative assessment questionnaire, ePAQ-PO® (ePAQ, Sheffield, UK) has previously been developed and validated. This study aimed to determine the impact of ePAQ-PO on nurse consultation times and patient satisfaction in low-risk patients.MethodsThe duration of pre-operative assessment consultation was recorded for American Society of Anesthesiology physical classification 1 and 2 patients undergoing pre-operative assessment by an electronic questionnaire (ePAQ-PO group) and standard face-to-face assessment by a nurse practitioner (standard group). Patients were also asked to complete an eight-item satisfaction questionnaire. Eighty-six patients were included (43 in each group).ResultsAfter adjusting for the duration of physical examination, median (IQR [min-max]) consultation time was longer in the standard compared to the ePAQ-PO group (25 (18–33 [10–49]) min vs. 12 (8–17 [4–45]) min, respectively; p <0.001). Response rate for the satisfaction questionnaire was 93%. There was no significant difference in patient satisfaction scores (38/39 in standard group vs. 39/41 in ePAQ-PO group were fully satisfied with their pre-operative assessment; p = 0.494).ConclusionPre-operative assessment using ePAQ-PO is associated with a significant reduction of over 50% in the duration of the assessment without impacting on patient satisfaction.

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“…More recently, with the increasing drive to capture data as part of routine care and find cost-effective, time efficient ways of routinely capturing the impact of treatments and illnesses from the patient’s perspective, there has been a rapid rise in ePROMs and a move away from the traditional mode of paper completions to electronic/web-based solutions. This is evident across a large and diverse range of medical disciplines [9] including pre-operative assessment [10], surgery [11] and cancer [12] to name a few.…”

Section: Types and Uses Of Promsmentioning

confidence: 99%

Raising the profile of pilot and feasibility studies in relation to the development, evaluation and implementation of patient-reported outcome measures

Jones

2017

Pilot Feasibility Stud

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This editorial introduces a new special series on the pilot and feasibility testing of patient-reported outcome measures (PROMs) in the on-line open access journal Pilot and Feasibility Studies. Pilot and feasibility studies are typically implemented to address issues of uncertainty before undertaking a larger definitive study such as a randomised controlled trial or large scale survey. This editorial considers the role that such pilot and feasibility testing plays in relation to the development, evaluation and implementation of PROMs. This is often an essential element of PROM research but is typically overlooked—especially within current methodological guidance, reporting space and also debate. This editorial aims to open up a dialogue about the role of pilot and feasibility testing in relation to PROMs. It highlights some of the areas in PROMs research where these types of studies have been carried out and discusses the ways in which the PROM community may be better supported and encouraged to integrate this element of the research process into their PROM-based work.

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Patient-completed, preoperative web-based anaesthetic assessment questionnaire (electronic Personal Assessment Questionnaire PreOperative)

Abstract: Initial evaluation suggests that ePAQ is acceptable to patients. Data collected using the system were found to be reliable, and its intrinsic scoring systems for ASA and BMI are comparable with values assigned by clinicians.

Cited by 29 publications

References 20 publications

Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

Effect of PreAnaesThesia Computerized Health (PATCH) Assessment on Duration of Nurse—Patient Consultation and Patient Experience: A Pilot Trial

A prospective observational study of the impact of an electronic questionnaire (ePAQ-PO) on the duration of nurse-led pre-operative assessment and patient satisfaction

Raising the profile of pilot and feasibility studies in relation to the development, evaluation and implementation of patient-reported outcome measures

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