A Proof-of-concept Observational Study Evaluating the Acceptability and Utility of a Telemedicine Solution for the Post Anesthesia Care Unit
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 560
- 试验地点
- 1
- 主要终点
- Difference in Time to PACU Discharge Determination From Observation to Interaction Phase
研究概览
简要总结
A single center prospective before-and-after proof-of-concept study to evaluate a telemedicine center for the PACU.
详细描述
A proof-of-concept study in perioperative telemedicine that aims to demonstrate the (i) acceptability and (ii) utility of integrating telemedicine into the PACU environment. This proof-of-concept study will be conducted in the PACU.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults (age ≥ 18) undergoing elective surgery at Barnes Jewish Hospital in St. Louis, Missouri will be enrolled
排除标准
- 未提供
研究组 & 干预措施
Observation Phase
In the first three months of this proof-of-concept study, a telemedicine center for the PACU will monitor patients assigned to PACU bays. Both telemedicine center clinicians and nurses caring for patients in these PACU bays will independently record information on patient physiological derangements, treatable symptoms, situations requiring urgent medical intervention, and discharge readiness (based on the modified Aldrete scale). During this phase of the study, clinicians in the telemedicine center will not communicate with clinicians in the PACU (nurses or physicians), unless there was a patient safety event.
Interaction Phase
In the three months following the observation phase, clinicians in the telemedicine center will interact with clinicians and patients in the two designated PACU bays using audio-visual technology. The clinicians in the telemedicine center will continue to document information on physiological derangements, treatable symptoms, situations requiring urgent medical intervention, and discharge readiness.
干预措施: Alertwatch - Interaction (Device)
结局指标
主要结局
Difference in Time to PACU Discharge Determination From Observation to Interaction Phase
时间窗: up to 1 day
The difference in discharge readiness time between the observation and interaction phases will be compared
次要结局
- Demonstrate the Potential Ability of a Remote Telemedicine Center for the PACU to Assist With PACU Functions.(up to 1 day)
- Identification of Symptoms Requiring Treatment in PACU Patients(approximately 1 day)
- Recognition of Situations Requiring Emergency Medical Intervention(approximately 1 day)
- Detection of Physiological Derangements in PACU Patients(approximately 1 day)
- Determination of Patient Readiness for PACU Discharge(approximately 1 day)
研究者
Michael Avidan
Professor of Anesthesiology and Surgery
Washington University School of Medicine