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Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study

BACKGROUND: Patient portals tethered to electronic health records can improve patient experience, activation, and outcomes. However, adoption of inpatient portals has been challenging. One way to potentially increase inpatient portal usage is to integrate it with a room control (RC) app on a common...

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Detalles Bibliográficos
Autores principales: Zhao, Beiqun, Tai-Seale, Ming, Longhurst, Christopher, Clay, Brian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610469/
https://www.ncbi.nlm.nih.gov/pubmed/31223118
http://dx.doi.org/10.2196/13964
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author Zhao, Beiqun
Tai-Seale, Ming
Longhurst, Christopher
Clay, Brian
author_facet Zhao, Beiqun
Tai-Seale, Ming
Longhurst, Christopher
Clay, Brian
author_sort Zhao, Beiqun
collection PubMed
description BACKGROUND: Patient portals tethered to electronic health records can improve patient experience, activation, and outcomes. However, adoption of inpatient portals has been challenging. One way to potentially increase inpatient portal usage is to integrate it with a room control (RC) app on a common tablet computer. OBJECTIVE: The aim of this study was to perform a retrospective analysis of patient usage of an RC app provided on tablet computers in patient rooms of our new inpatient tower. METHODS: We identified all patients who were admitted for >24 hours to our new inpatient tower over a 90-day period from September 1 to November 30, 2017. After excluding newborn patients from our analysis, we then identified patients who used the RC app at least one time during their admission. We linked these data to patient demographics (including age, sex, and race) and admitting service. We then performed univariable and multivariable logistic regression to assess patterns of RC app usage. RESULTS: A total of 3411 patients were admitted over the course of the study period; 2242/3411 (65.73%) used the RC app during their hospitalization. Compared with white patients, other/mixed/unknown race and Asian, Hawaiian, Pacific Islander, American Indian race were significantly associated with increased use of the RC app in a multivariable analysis. Increasing age was significantly associated with increased usage of the RC app. Usage of the RC app also varied by admitting services. Compared with general medicine, bone marrow transplant and general surgery patients had increased usage of the RC app. Conversely, critical care, medical specialties, neurology, surgical subspecialties, and obstetrics/gynecology were all associated with decreased usage of the RC app. CONCLUSIONS: Our study shows that one-third of patients are not using the RC app for critical room functions. Future initiatives to increase RC usage should take these populations into consideration. Contrary to common belief, older patients may use tablet-enabled RCs just as often, if not more often, than younger patients. Certain admitting services, such as neurology and surgical subspecialties, may have had lower usage rates owing to accessibility issues. Our study allows hospitals to tailor support for specific patient populations to increase RC app usage.
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spelling pubmed-66104692019-07-26 Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study Zhao, Beiqun Tai-Seale, Ming Longhurst, Christopher Clay, Brian JMIR Mhealth Uhealth Short Paper BACKGROUND: Patient portals tethered to electronic health records can improve patient experience, activation, and outcomes. However, adoption of inpatient portals has been challenging. One way to potentially increase inpatient portal usage is to integrate it with a room control (RC) app on a common tablet computer. OBJECTIVE: The aim of this study was to perform a retrospective analysis of patient usage of an RC app provided on tablet computers in patient rooms of our new inpatient tower. METHODS: We identified all patients who were admitted for >24 hours to our new inpatient tower over a 90-day period from September 1 to November 30, 2017. After excluding newborn patients from our analysis, we then identified patients who used the RC app at least one time during their admission. We linked these data to patient demographics (including age, sex, and race) and admitting service. We then performed univariable and multivariable logistic regression to assess patterns of RC app usage. RESULTS: A total of 3411 patients were admitted over the course of the study period; 2242/3411 (65.73%) used the RC app during their hospitalization. Compared with white patients, other/mixed/unknown race and Asian, Hawaiian, Pacific Islander, American Indian race were significantly associated with increased use of the RC app in a multivariable analysis. Increasing age was significantly associated with increased usage of the RC app. Usage of the RC app also varied by admitting services. Compared with general medicine, bone marrow transplant and general surgery patients had increased usage of the RC app. Conversely, critical care, medical specialties, neurology, surgical subspecialties, and obstetrics/gynecology were all associated with decreased usage of the RC app. CONCLUSIONS: Our study shows that one-third of patients are not using the RC app for critical room functions. Future initiatives to increase RC usage should take these populations into consideration. Contrary to common belief, older patients may use tablet-enabled RCs just as often, if not more often, than younger patients. Certain admitting services, such as neurology and surgical subspecialties, may have had lower usage rates owing to accessibility issues. Our study allows hospitals to tailor support for specific patient populations to increase RC app usage. JMIR Publications 2019-06-20 /pmc/articles/PMC6610469/ /pubmed/31223118 http://dx.doi.org/10.2196/13964 Text en ©Beiqun Zhao, Ming Tai-Seale, Christopher Longhurst, Brian Clay. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 20.06.2019. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/.as well as this copyright and license information must be included.
spellingShingle Short Paper
Zhao, Beiqun
Tai-Seale, Ming
Longhurst, Christopher
Clay, Brian
Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title_full Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title_fullStr Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title_full_unstemmed Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title_short Utilization of Hospital Room Hospitality Features on Patient-Controlled Tablet Computers: Cohort Study
title_sort utilization of hospital room hospitality features on patient-controlled tablet computers: cohort study
topic Short Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610469/
https://www.ncbi.nlm.nih.gov/pubmed/31223118
http://dx.doi.org/10.2196/13964
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