Collection and Utilization of Patient-Reported Outcome Measures in a Colorectal Surgery Clinic.
Collection and Utilization of Patient-Reported Outcome Measures in a Colorectal Surgery Clinic.
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DOI：
10.1016/j.jss.2022.07.042
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发表时间：
2022-12
影响因子：
2.2
通讯作者：
Hawkins, Alexander T.
中科院分区：
文献类型：
--
作者：
Harrison, Noah J.;Lopez, Andrea A.;Shroder, Megan M.;Bachmann, Justin M.;Burnell, Emily;Hopkins, Michael B.;Geiger, Timothy M.;Hawkins, Alexander T.
关键词：
常规收集患者报告的结局指标（PROM）有望改善患者护理。然而，在结直肠手术中，PROM在临床研究研究之外不常见，并且很少用于临床护理。我们设计并实施了一个质量改进项目，其目标是定期收集PROM，并增加结直肠外科医生在临床实践中使用PROM的频率。这个混合方法，质量改进项目在一个三级学术医疗中心的结直肠外科诊所进行。患者在每次预约前最多接受5次PROM。测量PROM完成率。此外，我们进行了两次教育干预，以提高结直肠外科医生对电子健康记录的PROM仪表板的利用率。使用率和态度的PROM仪表板进行了测量。总体而言，研究期间，3977例患者中有3600例（90.9%）完成了PROM给药。基线时，结直肠外科医生审查了6.7%的已完成PROM。两次教育干预后，这一比例上升至39.3%（P = 0.004）。结直肠外科医生也认为PROM仪表板更容易使用。提高PROM仪表板利用率的障碍包括用户界面/用户体验差以及缺乏知识、时间和相关性。在结直肠外科诊所收集胎膜早破是可行的，并可导致较高的胎膜早破完成率。教育干预可以提高结直肠外科医生在临床实践中对PROM的利用率。我们的经验，收集通过这一质量改进计划的PROM可以作为一个模板，其他结直肠外科诊所有兴趣收集和利用数据的PROM。
The routine collection of patient-reported outcome measures (PROMs) promises to improve patient care. However, in colorectal surgery, PROMs are uncommonly collected outside of clinical research studies and rarely used in clinical care. We designed and implemented a quality improvement project with the goals of routinely collecting PROMs and increasing the frequency that PROMs are utilized by colorectal surgeons in clinical practice. This mixed-methods, quality improvement project was conducted in the colorectal surgery clinic of a tertiary academic medical center. Patients were administered up to five PROMs before each appointment. PROM completion rates were measured. Additionally, we performed two educational interventions to increase utilization of our electronic health record’s PROM dashboard by colorectal surgeons. Utilization rates and attitudes toward the PROM dashboard were measured. Overall, patients completed 3600 of 3977 (90.9%) administered PROMs during the study period. At baseline, colorectal surgeons reviewed 6.7% of completed PROMs. After two educational interventions, this increased to 39.3% (P = 0.004). Colorectal surgeons also felt that the PROM dashboard was easier to use. Barriers to greater PROM dashboard utilization included poor user interface/user experience and a perceived lack of knowledge, time, and relevance. The collection of PROMs in colorectal surgery clinics is feasible and can result in high PROM completion rates. Educational interventions can improve the utilization of PROMs by colorectal surgeons in clinical practice. Our experience collecting PROMs through this quality improvement initiative can serve as a template for other colorectal surgery clinics interested in collecting and utilizing data from PROMs.
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影响因子：
2.8
作者：
Horn ME;Reinke EK;Mather RC;O'Donnell JD;George SZ
通讯作者：
George SZ
影响因子：
2.1
作者：
Nguyen H;Butow P;Dhillon H;Sundaresan P
通讯作者：
Sundaresan P
影响因子：
3.9
作者：
Hawkins AT;Rothman RL;Geiger TM;Canedo JR;Edwards-Hollingsworth K;LaNeve DC;Penson DF
通讯作者：
Penson DF
DOI：
10.5435/jaaosglobal-d-20-00034
发表时间：
2020-05-01
影响因子：
1.5
作者：
Bhatt, Surabhi;Davis, Kristina;Rothrock, Nan E.
通讯作者：
Rothrock, Nan E.
影响因子：
3.6
作者：
Gensheimer, Sarah G.;Wu, Albert W.;Snyder, Claire F.
通讯作者：
Snyder, Claire F.