Surgical Experience Improved With Patient Text Alerts and Web App

Dr. Carmine Simone MD, FRCSC Chief, Department of Surgery, Toronto East General Hospital Co-Program Medical Director, Surgery Health Service, Toronto East General Hospital Lecturer, University of Toronto, Division of Thoracic Surgery Courtesy Staff, Sunnybrook Health Sciences Centre & Royal Victoria Hospital, Barrie

Dr. Simone

MedicalResearch.com Interview with:
Dr. Carmine Simone MD, FRCSC 
Chief, Department of Surgery, Toronto East General Hospital
Co-Program Medical Director, Surgery HealthService, Toronto East General Hospital
Lecturer, University of Toronto, Division of Thoracic Surgery
Courtesy Staff, Sunnybrook Health Sciences Centre & Royal Victoria Hospital, Barrie

Medical Research: What is the background for this study? What are the main findings?

Dr. Simone: Patients preparing for surgery are often overwhelmed with information. Most of the time patients are given written instructions regarding preoperative preparation as well as written information at discharge. Our own institutional experience is that only 2/3 of patients read the information we provide and less than half of these patients can understand or retain the information they read.

We have found that providing patients SMS alerts or reminders leading up to their surgery increases the likelihood that they will follow instructions and keep their appointments. Furthermore having patients log their progress after discharged from hospital allows patients to track their progress and report complications earlier and avoid coming to the ER. Educational modules enable patients to better gauge their symptoms and make more informed decisions about calling the surgeon’s office or proceeding to the emergency department. We found a significant reduction in the number of ER visits and cancelled procedures after implementing the mobile device reminders and post-discharge daily log.

Medical Research: What should clinicians and patients take away from your report?

Dr. Simone: Patients are relying more and more on mobile technology to monitor their health and communicate with their caregivers. Physicians can use this technology to better educate and ultimately empower patients with reliable information that will positively impact their recovery from surgery.

Medical Research: What recommendations do you have for future research as a result of this study?

Dr. Simone: We will try to develop mobile applications to allow patients to participate in their postoperative care BEFORE discharge i.e. while in hospital. This will  ensure patients are aware of the expectations for successful recovery but also to ensure quality care for all surgical patients.

Citation: CHEST 2015 abstract

Use of mobile device reminders and web-based modules to improve surgical outcomes
Carmine Simone, MD; Robert Zeldin, MD; Najib Safieddine, MD; Joshua Liu, MD; Philip Chen

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Dr. Carmine Simone MD, FRCSC (2015). Surgical Experience Improved With Patient Text Alerts and Web App 

 

Last Updated on October 28, 2015 by Marie Benz MD FAAD