Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
复制标题
在患者控制的平板电脑上利用医院病房接待功能：队列研究
作者：
Beiqun Zhao;M. Tai;C. Longhurst;B. Clay
背景与电子健康记录捆绑的患者门户可以改善患者体验、激活和结果。然而，住院患者门户的采用一直是具有挑战性的。一种可能增加住院患者门户使用率的方法是将其与普通平板电脑上的房间控制(RC)应用程序集成。目的本研究的目的是对我们新的住院塔病房中平板电脑上提供的RC应用程序的患者使用情况进行回顾性分析。方法我们确定了2017年9月1日至11月30日期间在我们新的住院塔24小时住院的所有患者。在将新生儿患者排除在我们的分析之外后，我们确定了在入院期间至少使用RC应用程序一次的患者。我们将这些数据与患者的人口统计数据(包括年龄、性别和种族)和入院服务联系起来。然后，我们进行了单变量和多变量Logistic回归来评估RC应用程序的使用模式。结果3411例住院患者中，2242/3411(65.73%)患者在住院期间使用了RC APP。与白人患者相比，在多变量分析中，其他/混合/未知种族、亚洲人、夏威夷人、太平洋岛民、美国印第安人与RC应用程序的使用增加显著相关。年龄的增长与RC应用程序的使用增加显著相关。RC应用程序的使用也因接纳服务而有所不同。与普通内科相比，骨髓移植和普外科患者使用RC APP的比例更高。相反，危重护理、医学专科、神经学、外科专科和产科/妇科都与RC应用程序的使用减少有关。结论我们的研究表明，三分之一的患者没有使用RC APP来执行危重房间功能。未来增加RC使用量的举措应考虑到这些人群。与通常的看法相反，老年患者使用平板电脑启用的RCS的频率可能与年轻患者相同，如果不是更频繁的话。某些入院服务，如神经科和外科专科，由于无障碍问题，使用率可能较低。我们的研究允许医院为特定的患者群体量身定做支持，以增加RC应用程序的使用。
Background Patient portals tethered to electronic health records can improve patient experience, activation, and outcomes. However, adoption of inpatient portals has been challenging. One way to potentially increase inpatient portal usage is to integrate it with a room control (RC) app on a common tablet computer. Objective The aim of this study was to perform a retrospective analysis of patient usage of an RC app provided on tablet computers in patient rooms of our new inpatient tower. Methods We identified all patients who were admitted for >24 hours to our new inpatient tower over a 90-day period from September 1 to November 30, 2017. After excluding newborn patients from our analysis, we then identified patients who used the RC app at least one time during their admission. We linked these data to patient demographics (including age, sex, and race) and admitting service. We then performed univariable and multivariable logistic regression to assess patterns of RC app usage. Results A total of 3411 patients were admitted over the course of the study period; 2242/3411 (65.73%) used the RC app during their hospitalization. Compared with white patients, other/mixed/unknown race and Asian, Hawaiian, Pacific Islander, American Indian race were significantly associated with increased use of the RC app in a multivariable analysis. Increasing age was significantly associated with increased usage of the RC app. Usage of the RC app also varied by admitting services. Compared with general medicine, bone marrow transplant and general surgery patients had increased usage of the RC app. Conversely, critical care, medical specialties, neurology, surgical subspecialties, and obstetrics/gynecology were all associated with decreased usage of the RC app. Conclusions Our study shows that one-third of patients are not using the RC app for critical room functions. Future initiatives to increase RC usage should take these populations into consideration. Contrary to common belief, older patients may use tablet-enabled RCs just as often, if not more often, than younger patients. Certain admitting services, such as neurology and surgical subspecialties, may have had lower usage rates owing to accessibility issues. Our study allows hospitals to tailor support for specific patient populations to increase RC app usage.
供患者参与医院护理的平板电脑应用程序。
DOI：
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发表时间：
2011
期刊：
AMIA ... Annual Symposium proceedings. AMIA Symposium
影响因子：
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作者：
Vawdrey,DavidK;Wilcox,LaurenG;Collins,SarahA;Bakken,Suzanne;Feiner,Steve;Boyer,Aurelia;Restaino,SusanW
通讯作者：
Restaino,SusanW