Kevin J O'Leary1, Mary E Lohman2, Eckford Culver3, Audrey Killarney4, G Randy Smith4, David M Liebovitz5. 1. Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ilinois, USA keoleary@nm.org. 2. Northwestern University Feinberg School of Medicine, Chicago, Ilinois, USA. 3. Northwestern Memorial Hospital, Chicago, Illinois, USA. 4. Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, Ilinois, USA. 5. Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Abstract
OBJECTIVE: To assess the effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. METHODS: We developed a mobile patient portal application including pictures, names, and role descriptions of team members, scheduled tests and procedures, and a list of active medications. We evaluated the effect of the application using a controlled trial involving 2 similar units in a large teaching hospital. Patients on the intervention unit were offered use of tablet computers with the portal application during their hospitalization. We assessed patients' ability to correctly name their nurse, primary service physicians, physician roles, planned tests and procedures, medications started, and medications stopped since admission. We also administered the Short Form of the Patient Activation Measure. RESULTS: Overall, 100 intervention- and 102 control-unit patients participated. A higher percentage of intervention-unit patients correctly named ≥1 physician (56% vs 29.4%; P < .001) and ≥1 physician role (47% vs 15.7%; P < .001). Knowledge of nurses' names, planned tests, planned procedures, and medication changes was generally low and not significantly different between the study units. The Short Form of the Patient Activation Measure mean (SD) score was also not significantly different at 64.1 (13.4) vs 62.7 (12.8); P = .46. CONCLUSIONS: Additional research is needed to identify optimal methods to engage and inform patients during their hospitalization, which will improve preparation for self- management after discharge.
OBJECTIVE: To assess the effect of tablet computers with a mobile patient portal application on hospitalized patients' knowledge and activation. METHODS: We developed a mobile patient portal application including pictures, names, and role descriptions of team members, scheduled tests and procedures, and a list of active medications. We evaluated the effect of the application using a controlled trial involving 2 similar units in a large teaching hospital. Patients on the intervention unit were offered use of tablet computers with the portal application during their hospitalization. We assessed patients' ability to correctly name their nurse, primary service physicians, physician roles, planned tests and procedures, medications started, and medications stopped since admission. We also administered the Short Form of the Patient Activation Measure. RESULTS: Overall, 100 intervention- and 102 control-unit patients participated. A higher percentage of intervention-unit patients correctly named ≥1 physician (56% vs 29.4%; P < .001) and ≥1 physician role (47% vs 15.7%; P < .001). Knowledge of nurses' names, planned tests, planned procedures, and medication changes was generally low and not significantly different between the study units. The Short Form of the Patient Activation Measure mean (SD) score was also not significantly different at 64.1 (13.4) vs 62.7 (12.8); P = .46. CONCLUSIONS: Additional research is needed to identify optimal methods to engage and inform patients during their hospitalization, which will improve preparation for self- management after discharge.
Authors: P D Cleary; S Edgman-Levitan; M Roberts; T W Moloney; W McMullen; J D Walker; T L Delbanco Journal: Health Aff (Millwood) Date: 1991 Impact factor: 6.301
Authors: Yael Simons; Timothy Caprio; Nicholas Furiasse; Michael Kriss; Mark V Williams; Kevin J O'Leary Journal: J Hosp Med Date: 2013-11-08 Impact factor: 2.960
Authors: Caroline Lubick Goldzweig; Greg Orshansky; Neil M Paige; Ali Alexander Towfigh; David A Haggstrom; Isomi Miake-Lye; Jessica M Beroes; Paul G Shekelle Journal: Ann Intern Med Date: 2013-11-19 Impact factor: 25.391
Authors: Jennifer E Prey; Janet Woollen; Lauren Wilcox; Alexander D Sackeim; George Hripcsak; Suzanne Bakken; Susan Restaino; Steven Feiner; David K Vawdrey Journal: J Am Med Inform Assoc Date: 2013-11-22 Impact factor: 4.497
Authors: Cynthia J Sieck; Daniel M Walker; Jennifer L Hefner; Jaclyn Volney; Timothy R Huerta; Ann Scheck McAlearney Journal: Appl Clin Inform Date: 2018-12-05 Impact factor: 2.342
Authors: Ruth M Masterson Creber; Lisa V Grossman; Beatriz Ryan; Min Qian; Fernanda C G Polubriaginof; Susan Restaino; Suzanne Bakken; George Hripcsak; David K Vawdrey Journal: J Am Med Inform Assoc Date: 2019-02-01 Impact factor: 4.497
Authors: Michelle M Kelly; Anne S Thurber; Ryan J Coller; Alisa Khan; Shannon M Dean; Windy Smith; Peter L T Hoonakker Journal: Hosp Pediatr Date: 2019-04
Authors: Anuj K Dalal; Patricia Dykes; Lipika Samal; Kelly McNally; Eli Mlaver; Cathy S Yoon; Stuart R Lipsitz; David W Bates Journal: Appl Clin Inform Date: 2019-05-29 Impact factor: 2.342
Authors: Lisa V Grossman; Ruth M Masterson Creber; Beatriz Ryan; Susan Restaino; Irma Alarcon; Fernanda Polubriaginof; Suzanne Bakken; David K Vawdrey Journal: AMIA Annu Symp Proc Date: 2018-12-05
Authors: Sonali R Mishra; Andrew D Miller; Shefali Haldar; Maher Khelifi; Jordan Eschler; Rashmi G Elera; Ari H Pollack; Wanda Pratt Journal: Proc SIGCHI Conf Hum Factor Comput Syst Date: 2018-04-21