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Tomás AS, Dias RM, Cabido H, Nunes C, Lemos P. Online Group Consultation on Labor Analgesia for Pregnant Women: Is It Feasible? Cureus 2024; 16:e51687. [PMID: 38313986 PMCID: PMC10838392 DOI: 10.7759/cureus.51687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2024] [Indexed: 02/06/2024] Open
Abstract
INTRODUCTION Our department of anesthesiology has been conducting weekly, for several years, a group consultation to educate childbearing people about labor analgesia. The emergence of the COVID-19 pandemic forced an adaptation to a virtual consultation format. Since there are no studies about online group consultation on labor analgesia in order to understand its role, an anonymous questionnaire was created and applied. The objective was to evaluate this new consultation format, namely the ease of access, usefulness of the content provided, and its impact on the satisfaction and experience of childbirth. MATERIALS AND METHODS An observational prospective study was conducted. A questionnaire was sent by e-mail after childbirth to all childbearing people participating in the online consultation from January 20, 2021, to March 2, 2022. SPSS Statistics version 28.0 (IBM Corp. Released 2021. IBM SPSS Statistics for Windows, Version 28.0. Armonk, NY: IBM Corp) was used for statistical analysis. Internal consistency was analyzed using Cronbach's alpha. RESULTS A total of 563 participants were eligible, and 404 (71.8%) completed questionnaires were analyzed. A few technical problems were reported. The participants considered their privacy respected, and more than 90% were satisfied with the content of the online consultation, the opportunity to pose questions, and the help managing expectations. Considering face-to-face consultation, 89.6% of patients considered the online format an effective alternative, 63.2% believed it could replace the old model, and 96.3% would recommend it. CONCLUSIONS Our study demonstrates that online consultation on labor analgesia was a good strategy during the COVID-19 pandemic and has the potential to be used in this format in the future.
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Affiliation(s)
- Ana Sofia Tomás
- Department of Anaesthesiology, Centro Hospitalar Universitário de Santo António, Porto, PRT
| | - Raquel M Dias
- Department of Anaesthesiology, Centro Hospitalar Universitário de Santo António, Porto, PRT
| | - Hermina Cabido
- Department of Anaesthesiology, Centro Hospitalar Universitário de Santo António, Porto, PRT
| | - Catarina Nunes
- Department of Science and Technology, Universidade Aberta, Lisboa, PRT
| | - Paulo Lemos
- Department of Anaesthesiology, Centro Hospitalar Universitário de Santo António, Porto, PRT
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Cassinello Plaza F, Hervías Sanz M, García Cebrián C, López Viñals M, Paz Aparicio A, Pellegrini M, Robles Rodríguez M, Sánchez Andrés A, Solsona Carcasona S, Suarez Castaño C, Subirana Giménez L, Torres Font J. Telemedicine pre-anesthesia evaluation in children: Experiences and recommendations. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2024; 71:28-33. [PMID: 37678458 DOI: 10.1016/j.redare.2023.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 07/12/2022] [Indexed: 09/09/2023]
Affiliation(s)
- F Cassinello Plaza
- Servicio de Anestesia y Reanimación, Hospital Nuestra Señora de Candelaria, Tenerife, Spain
| | - M Hervías Sanz
- Servicio de Anestesia y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - C García Cebrián
- Servicio de Anestesia y Reanimación, Hospital Universitario La Fe, Valencia, Spain.
| | - M López Viñals
- Servicio de Anestesia y Reanimación, Hospital Sant Joan de Déu, Barcelona, Spain
| | - A Paz Aparicio
- Servicio de Anestesia y Reanimación, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - M Pellegrini
- Servicio de Anestesia y Reanimación, Hospital del Mar, Barcelona, Spain
| | - M Robles Rodríguez
- Servicio de Anestesia y Reanimación, Hospital Fundación Privada Asilo de Granollers, Granollers, Barcelona, Spain
| | - A Sánchez Andrés
- Servicio de Anestesia y Reanimación, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - S Solsona Carcasona
- Servicio de Anestesia y Reanimación, Hospital Fundación Privada Asilo de Granollers, Granollers, Barcelona, Spain
| | - C Suarez Castaño
- Servicio de Anestesia y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - L Subirana Giménez
- Servicio de Anestesia y Reanimación, Hospital Parc Taulí, Sabadell, Barcelona, Spain
| | - J Torres Font
- Servicio de Anestesia y Reanimación, Hospital Parc Taulí, Sabadell, Barcelona, Spain
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Popivanov P, Bampoe S, Tan T, Rafferty P. Development, implementation and evaluation of high-quality virtual preoperative anaesthetic assessment during COVID-19 and beyond: a quality improvement report. BMJ Open Qual 2022; 11:bmjoq-2022-001959. [PMID: 36216375 PMCID: PMC9556744 DOI: 10.1136/bmjoq-2022-001959] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 09/27/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Preoperative risk factor identification and optimisation are widely accepted as the gold standard of care for elective surgery and are essential for reducing morbidity and mortality. COVID-19 public health restrictions required a careful balance between ensuring best medical practices and maintaining safety by minimising patient face-to-face attendance in the hospital. Based on the successful implementation of telemedicine (TM) in other medical specialties and its feasibility in the preoperative context, this study aimed to develop, implement and evaluate a high-quality virtual preoperative anaesthetic assessment process. METHODS The three-step model for improvement was used. The specific, measurable, actionable, relevant, time aim (step 1) and measures for improvement (step 2) were defined at the onset of the project. The plan-do-study-act tool was used for the structured implementation of improvement interventions (step 3) in three phases. Data relating to virtual and in-person referrals, assessments, did-not-attend (DNA) rate, consultation time, day of surgery delays and cancellations, and service-user and provider experience surveys were recorded prospectively. RESULTS A total of 2805 patients were assessed in the preoperative anaesthetic assessment clinic between July 2020 and March 2021. The mean rate of virtual preoperative assessments was 50% (SD ±10) (1390/2805). 0.1% (30/2805) were inappropriately referred on the alternative pathway. The DNA rate was 0.4% (8/1398) and 3% (43/1458) for virtual and in-person pathways, respectively. The mean consultation times for virtual and in-person attendance were 19 (SD ±7) and 31 (SD ±13) min, respectively. There were five same-day surgery cancellations and one delay due to medical reasons. When asked about their experience with the virtual assessment, both service users and providers reported high satisfaction, minimal technical difficulties and shared concerns about limited opportunities for physical examination. CONCLUSION This is one of the first implementational studies to comprehensively outline the feasibility of TM in preoperative anaesthetic assessment during COVID-19.
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Affiliation(s)
- Petar Popivanov
- Department of Perioperative Medicine, Coombe Women and Infants University Hospital, Dublin, Ireland
| | - Sohail Bampoe
- University College London Hospitals NHS Foundation Trust, London, UK
| | - Terry Tan
- Department of Perioperative Medicine, Coombe Women and Infants University Hospital, Dublin, Ireland
| | - Paul Rafferty
- Faculty of Leadership and Quality in Healthcare, Royal College of Physicians of Ireland, Dublin, Ireland
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Connelly Y, Lotan R, Brzezinski Sinai Y, Rolls D, Beker A, Abensour E, Neudorfer O, Stocki D. Implementation of a Personalized Digital Application for Pediatric Pre-Anesthesia Evaluation and Education: An Ongoing Usability Analysis and Dynamic Improvement Scheme. JMIR Form Res 2022; 6:e34129. [PMID: 35416171 PMCID: PMC9121218 DOI: 10.2196/34129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 02/23/2022] [Accepted: 04/08/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Pre-anesthesia evaluation session is a basic practice preceding any surgical procedure, aimed at tailoring individualized anesthetic plan per patient, improving safety, and providing patients with educational knowledge and tools in preparation for the surgery day. In the last two decades, electronic health (eHealth) and mobile health (mHealth) settings gradually replaced part of the face-to-face encounters as the platform for pre-anesthesia communication between doctor and patient, yielding a range of benefits as demonstrated in recent publications. Yet, there is a lack of studies examining the effectiveness of surgical mHealth applications focusing on the pediatric preanesthetic setting and addressing their usability among families. OBJECTIVE This study describes a dynamic approach for the development process of GistMD's pre-anesthesia mHealth system, a mobile-based educational and management system designed for the pediatric setting. METHODS The study was conducted in four departments in a 1500-beds quaternary, academic medical center in Tel Aviv, Israel. During the study period, pre-anesthesia system was sent via text message to families whose children were about to undergo surgery. The system included pre-anesthesia questionnaires, educational videos, downloadable instructions, and consent forms. Ongoing collection and examination of usability data were conducted during the implementation term including responsiveness, effectiveness, and satisfaction indicators. The information collected in each stage was used to draw conclusions regarding potential usability gaps of the system and to plan product adjustments for the following period. RESULTS In a period of 141 days of implementation, GistMD pre-anesthesia management system was sent to 769 families. Three product fit actions were applied during this term: (1) Change of text message scheduling, aimed at addressing learnability and accessibility, resulted in a significant increase of 27% (χ2 [1] = 12.65, P<.001) in view rates and 27.4% (χ2 [1] = 30.01, P<.001) in satisfaction rates; (2) Reduce the number of screens, aimed at increasing efficiency and operability, resulted in a significant decrease of 8.6% of cases in which users did not perform any activity on the system after logging in (χ2 [1] = 6.18, P=.02); (3) Patient-focused campaign in two departments aimed at addressing memorability, resulted in significant increases in eight of twelve usability indicators. CONCLUSIONS Our results indicate that mHealth product-fit decisions derived from theory-based approach and ongoing usability data analysis allow tailoring of most appropriate responses for usability gaps, as reflected in increasing use rates and satisfaction. In the case of the pre-anesthesia management system in the pediatric setting, increased usability conveyed important benefits for patients and families. This work suggests a framework and study methods that may also be applicable in other mHealth settings and domains. CLINICALTRIAL
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Affiliation(s)
- Yaron Connelly
- GistMD, Stricker, 163, Tel Aviv, IL.,ICET - The Israeli Center for Emerging Technologies in Healthcare, Samir Medical Center, Zerifin, IL
| | | | - Yitzhak Brzezinski Sinai
- Department of Anesthesiology and Intensive Care, Tel Aviv Medical Center, Tel Aviv, IL.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IL
| | | | | | | | - Orit Neudorfer
- GistMD, Stricker, 163, Tel Aviv, IL.,Dizengoff Pediatric Community Center, Clalit Health Services, Tel Aviv, IL
| | - Daniel Stocki
- Department of Anesthesiology and Intensive Care, Tel Aviv Medical Center, Tel Aviv, IL.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, IL
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Keng BMH, Gan WH, Tam YC, Oh CC. Personal protective equipment-related occupational dermatoses during COVID-19 among health care workers: A worldwide systematic review. JAAD Int 2021; 5:85-95. [PMID: 34485949 PMCID: PMC8407949 DOI: 10.1016/j.jdin.2021.08.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2021] [Indexed: 12/22/2022] Open
Abstract
Background Occupational dermatoses caused by personal protective equipment (PPE) in the ongoing COVID-19 pandemic are emerging occupational health challenges that must be promptly and effectively addressed to ease burden on our health care workers. Objective A systematic review was conducted to determine common PPE-related dermatoses, affected body sites, and implicated occupational contactants. We further proposed solutions to mitigate this problem. Methods Online databases were searched for articles on PPE-related dermatoses in health care workers during the COVID-19 pandemic written in English and published from January 1, 2020, to January 30, 2021. Results Sixteen studies, including a total of 3958 participants, were included. The most common dermatoses were xerosis, pressure-related erythema, and contact dermatitis, mainly affecting the face and hands. The most widely implicated contactants were increased frequency of hand hygiene, gloves, N95 masks, and goggles. Proposed solutions were categorized as individual self-care, protection of the workforce, and long-term preventive measures. Conclusion Through measures such as regular basic skin care education, early access to specialty clinics via telemedicine, and designing of better-fit PPE, the challenges posed by PPE-related occupational dermatoses can be significantly reduced.
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Affiliation(s)
| | - Wee Hoe Gan
- Department of Occupational and Environmental Medicine, Singapore General Hospital, Singapore, Singapore.,Duke-NUS Medical School, Singapore, Singapore.,Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Yew Chong Tam
- Education Resource Centre, Singapore General Hospital, Singapore, Singapore
| | - Choon Chiat Oh
- Duke-NUS Medical School, Singapore, Singapore.,Department of Dermatology, Singapore General Hospital, Singapore, Singapore
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Mishra S, Gupta R, Biswas S. Role of telemedicine in anesthesia: Are we ready yet? BALI JOURNAL OF ANESTHESIOLOGY 2021. [DOI: 10.4103/bjoa.bjoa_51_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Ceruti C, Carry PY, Ferrier C, Friggeri A, Piriou V. [Telehealth in peroperative medicine]. ACTA ACUST UNITED AC 2020; 24:243-249. [PMID: 32963474 PMCID: PMC7498471 DOI: 10.1016/j.pratan.2020.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
La télémédecine est en plein essor dans tous les domaines médicaux. En plus d’être l’une des priorités de l’OMS afin de répondre aux problèmes des coûts et de l’accessibilité à des soins de qualité, que ce soit dans les pays développés ou en voie de développement, la crise sanitaire récente liée au COVID-19 a montré qu’elle pouvait être un atout certain pour la permanence des soins en situation de crise. Si la télémédecine en anesthésie se développe pour l’ensemble de la prise en charge péri-opératoire des patients, cette mise au point vise à présenter les données récentes de la littérature concernant la place de la télémédecine en anesthésie pour l’évaluation pré-opératoire. Quatre points principaux sont abordés : (1) l’éligibilité et la faisabilité de la téléconsultation d’anesthésie; (2) son efficacité en terme de temps passé en consultation d’anesthésie, taux d’annulation d’intervention et concordance de l’examen physique; (3) la satisfaction des patients, et enfin; (4) son potentiel impact économique.
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Affiliation(s)
- Charlotte Ceruti
- Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France
| | - Pierre Yves Carry
- Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France
| | - Clémence Ferrier
- Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France
| | - Arnaud Friggeri
- Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France
| | - Vincent Piriou
- Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France
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Garg R, Hoda W. Emergence of Telehealth for anesthesiologists in COVID-19-boon for all! J Anaesthesiol Clin Pharmacol 2020; 36:417-419. [PMID: 33487917 PMCID: PMC7812969 DOI: 10.4103/joacp.joacp_416_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 07/07/2020] [Indexed: 02/07/2023] Open
Affiliation(s)
- Rakesh Garg
- Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRAIRCH, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
| | - Wasimul Hoda
- Department of Superspeciality Anesthesia, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
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Considering the Research Procedure. J Perianesth Nurs 2020; 35:224. [PMID: 32247436 DOI: 10.1016/j.jopan.2020.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Accepted: 01/06/2020] [Indexed: 11/23/2022]
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