通过移动集成移动患者取消:基于医院的质量改进项目。

Jason K Smith, Alyce Ashcraft
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引用次数: 1

摘要

Annie应用程序(Annie应用程序)提示患者跟踪并指导他们遵守结肠镜检查肠道准备协议,即不口服(NPO)指示。该应用程序是一系列针对结肠镜检查准备的定时教育短信。本质量改进项目旨在确定在休斯顿一家大型医院诊所实施短消息服务(SMS)应用程序(Annie app)是否会降低接受非紧急结肠镜检查的患者当天取消检查的比率。大多数当日取消与未能遵循诊所护理人员提供的NPO指示有关。所有患者均接受标准的14天电话,以及3天护士提醒电话。安妮应用短信是标准的护士提醒电话之外的附加功能。使用Annie应用和取消预约之间存在显著关联。当患者选择接收Annie应用程序信息而不是接收语音邮件时,取消预约的几率降低了21%。非裔美国人从Annie应用程序中获益最多,从28.4%下降到17.9%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moving the Needle on Patient Cancellations Through Mobile Integration: A Hospital-Based Quality Improvement Project.

The Annie application (Annie app) prompts patients to track and guide their adherence to colonoscopy bowel prep protocol referred to as nothing by mouth (NPO) instructions. The app is a series of timed educational text messages geared toward colonoscopy preparation. This quality improvement project aimed to establish whether implementing a short message service (SMS) application (Annie app) would decrease the same-day cancellation rate among individuals receiving a nonemergent colonoscopy in a large Houston hospital clinic. Most same-day cancellations are related to failure to follow NPO instructions provided by the clinic nursing staff. All patients received the standard 14-day call, as well as the 3-day nurse reminder calls. The Annie app SMS was in addition to the standard nurse reminder calls. There were significant associations between using the Annie app and cancellations. Cancellation rates decreased by 21% when patients elected to receive the Annie app messages versus receiving voice-mail-only messages. African American individuals benefitted the most from the Annie app decreasing from 28.4% to 17.9%.

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