Key result
Large-scale clinical implementation of PROMIS computer adaptive testing via tablets achieved high completion rates with an average completion time of 3.5 minutes and a minimal increase in follow-up registration time.
Why the study?
Does the implementation of PROMIS CAT instruments on tablet computers with direct EMR integration allow for efficient collection of patient-reported outcomes in a busy orthopaedic clinic?
Observational (n=17,892)
No
Does the implementation of PROMIS CAT instruments on tablet computers with direct EMR integration allow for efficient collection of patient-reported outcomes in a busy orthopaedic clinic?
Absolute Event Rate: 3.32% vs 2.94%
p-value: p=0.007
Large-scale implementation of PROMIS CAT instruments via tablets in an orthopaedic clinic is feasible, requires minimal time, and successfully integrates patient-reported outcomes directly into the EMR for real-time clinical use.
The objective of this research was to assess the implementation of collecting patient-reported outcomes data in the outpatient clinics of a large academic hospital and identify potential barriers and solutions to such an implementation. Three PROMIS computer adaptive test instruments, (1) physical function, (2) pain interference, and (3) depression, were administered at 23,813 patient encounters using a novel software platform on tablet computers. The average time to complete was 3.50 ± 3.12 min, with a median time of 2.60 min. Registration times for new patients did not change significantly, 6.87 ± 3.34 to 7.19 ± 2.69 min. Registration times increased for follow-up (p = .007) from 2.94 ± 1.57 (p < .01) min to 3.32 ± 1.78 min. This is an effective implementation strategy to collect patient-reported outcomes and directly import the results into the electronic medical record in real time for use during the clinical visit.
No takes yet. Share an insight, caveat, or question.
Papuga et al. (2017) conducted an observational in Orthopaedic outpatient visits (n=17,892). PROMIS computer adaptive testing (CAT) via tablet vs. Standard registration without PROMIS CAT was evaluated on Registration time for follow-up appointments (minutes) (p=0.007). Large-scale clinical implementation of PROMIS computer adaptive testing via tablets achieved high completion rates with an average completion time of 3.5 minutes and a minimal increase in follow-up registration time.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: