Initial Experience with Digital Patient Briefing in Computed Tomography

Abstract

Purpose To assess digital patient briefing as an alternative to conventional paper documentation.

Materials and Methods 502 patients with a planned computed tomography (CT) examination were selected for digital patient briefing using the E-ConsentPro software from Thieme Compliance on an iPad by Apple (Cupertino, California, USA). For the analysis, three age groups were formed. The time required for the patient briefing, the number of open questions as well as the time needed for discussion with physicians were determined. Student’s t-test was performed to assess statistical significance.

Results There was no significant difference between patient age and briefing time which was about 20 minutes on average. The number of open or unclear questions increased with patient age. While patients younger than 30 years of age had about 2 open questions, patients over 30 and 60 years had about 4 and 5 questions, respectively. The total time needed for discussion with physicians was less than 2 minutes on average. A significant difference in the time required for discussion with physicians could not be observed between the individual age groups.

Conclusion Tablet-based digital briefing allows the storage of patient documents with reasonable time and effort. Furthermore, it minimizes the risk of data loss.

Key Points 

• Tablet-based digital patient briefing in computed tomography can be performed with reasonable time and effort.

• The time required for tablet-based patient briefing is independent of patient age.

• The cost-benefit analysis presents a significant improvement in digital patient briefing compared to the paper-based process.

Citation Format

• Alikhani B, Hensen B, Grosser A et al. Initial Experience with Digital Patient Briefing in Computed Tomography. Fortschr Röntgenstr 2019; 191: 540 – 546

Key words

digital patient briefing - computed tomography

• References

• 1 Gesetz zur Verbesserung der Rechte von Patientinnen und Patienten vom 20. Februar 2013, 2013. Bundesgesetzblatt Jahrgang; 2013 Teil I Nr. 9, ausgegeben zu Bonn am 25. Februar 2013
• 2 John S, Poh ACC, Lim TCC. et al. The iPad Tablet Computer for Mobile On-Call Radiology Diagnosis? Auditing Discrepancy in CT and MRI Reporting. J Digit Imaging 2012; 25: 628-634
• 3 Zekely A, Talanow T, Bagyi P. Smartphones, tablets and mobile applications for radiology. Eur J Radiol 2013; 82: 829-836
• 4 Schlechtweg PM, Hammon M, Heberlein C. et al. Can the documented patient briefing be carried out with an iPad app?. J Digit Imaging 2013; 26: 383-392
• 5 Schlechtweg PM, Hammon M, Giese D. et al. iPad-Based Patient Briefing for Radiological Examinations — a Clinical Trial. J Digit Imaging 2014; 27: 479
• 6 Toomey RA, Rainford LA, Leong DL. et al. Is the iPad Suitable for Image Display at American Board of Radiology Examinations?. Am J Roentgenol 2014; 203: 1028-1033
• 7 Caffery LJ, Manthey KL, Sim LH. The effect of time in use on the display performance of the iPad. Br J Radiol 2016; 89: 20150657
• 8 Park JH, Kim YK, Kim B. et al. Diagnostic performance of smartphone reading of the coronary CT angiography in patients with acute chest pain at ED. Am J Emerg Med 2016; 34: 1794-1798
• 9 Software E-ConsentPro. https://www.thieme-compliance.de/de/softwaree-consentpro/