Use of video education in post-operative patient counselling: A quality improvement initiative

Abstract

Introduction: This quality improvement study examined if a video-based resource could reduce delayed discharges after robotic prostatectomy while maintaining high levels of patient satisfaction.
 Methods: From April 2018 to February 2020, all patients undergoing robotic-assisted radical prostatectomy (RARP) were asked to complete an anonymous survey evaluating their perioperative experience. The quality improvement (QI) intervention started in March 2019 with a series of six educational videos being shown to all patients. The videos were used to supplement postoperative instruction. The discharge times of all patients were obtained from The Ottawa Hospital Data Repositories. A run chart analysis was used to detect change in discharge time (outcome measure). Patient satisfaction (balancing measure) was analyzed using Chi-squared analysis and descriptive statistics.
 Results: A total of 425 robotic prostatectomies (199 pre-intervention, 226 post-intervention) were available. Analysis of the run chart revealed non-random change favoring earlier discharge in the intervention group (p<0.05), with a pre-intervention late discharge rate of 64% and a post-intervention late discharge rate of 55%. A total of 140 surveys (59 pre-intervention, 81 post-intervention) assessing patient satisfaction were completed, corresponding with a response rate of 29.6% and 35.8%, respectively. Median score on a 10-point scale for overall satisfaction was equal between the intervention and non-intervention groups (9 [interquartile range (IQR 8–10) vs. 10 [IQR 8-10], p=0.92).
 Conclusions: Patient satisfaction with care and education was high for all patients and was not negatively impacted by this intervention. Video education tools may be one method to help improve the discharge process following RARP.

Tecnologias educacionais direcionadas a homens submetidos à prostatectomia radical robótica: revisão integrativa

“…Os estudos que utilizaram os vídeos destacaram a necessidade de entendimento do paciente sobre as suas condições e expectativas quanto à redução das complicações pósoperatórias, diminuição da ansiedade e aumento da satisfação (GADLER et al, 2016;WITHERSPOON, 2021).…”

“…Já o estudo de coorte prospectivo desenvolvido no Canadá em 2021 com 425 pacientes avaliou o tempo de alta, a fidelidade da intervenção e a satisfação da utilização de vídeos que abordavam a rotina após a PRRA obtendo como resultados a redução do tempo de internação e um maior nível de satisfação alcançado (WITHERSPOON, 2021).…”