Computer-Assisted Communication for Critically Ill Patients: A Pilot Study

BACKGROUND: Critically ill nonverbal patients often have limited means of communication through eye-blinking, communication cards, and occasionally writing. We evaluated a novel computer communication device to determine its clinical utility as an alternative form of communication between patients and hospital staff. METHODS: We conducted a prospective pilot study to evaluate a communication system (LifeVoice) for intubated nonverbal trauma patients. Patients and hospital staff completed questionnaires regarding product satisfaction and utility on days 1, 3, and 7. RESULTS: Patients (n = 35) felt the system assisted them in obtaining their needs (>90%). Hospital staff (n = 42) felt the device improved patient care (96%) and comfort (91%). CONCLUSION: The system evaluated offers an effective alternative to traditional means of communication in the intensive care unit. Computer-assisted communication improves patient comfort and allows advanced patient participation in medical care. Further studies will determine whether this modality objectively improves patient care by promoting a higher degree of safety and reducing medical errors.