A pilot study in perioperative telemedicine that aims to demonstrate the efficiency, and safety of integrating telemedicine into the PACU environment. This pilot study will expand on our previously conducted proof-of-concept study for a telemedicine solution in the PACU. If this pilot study proves to be successful, the study team intends subsequently to expand such a telemedicine solution to multiple clinical locations.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
8,500
Decision-support software, customized for the PACU environment, Interaction between the telemedicine center and the PACU
Washington University School of Medicine
St Louis, Missouri, United States
Time spent in PACU
Time patient enters PACU to time patient leaves PACU
Time frame: Day of surgery
Time to PACU sign-out by anesthesia clinician
Time patient enters PACU to time discharge note is signed in EHR by anesthesiologist
Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.
Pain score in PACU
0 to 10 (numeric rating scale \[NRS\]) - 0 correspond to no pain, ≤ 3 to mild pain, 4-6 to moderate, and scores ≥7 to severe pain
Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.
PONV status in PACU
None, resolved, resolved and tolerable, persists despite treatment, unable to evaluate
Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.
Clinician interactions - Number of contacts RCT clinicians receive from PACU clinicians
Reason for contact will be logged (i.e. order placement requests, patient assessments)
Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.
Clinician interactions - Number of contacts RCT clinicians make to PACU clinicians for on-the-ground intervention
Reason for contact will be logged
Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Safety events - Return to hospital
New admission notes, and ED/urgent care notes
Time frame: 24 hours
Safety events - Number of participants with elevation of care
Patients with floor to ICU transfer, and unplanned floor to OR (return to OR)
Time frame: 24 Hours
Safety events - Number of participants with administration of rescue drugs
Events of Naloxone (opioid overdose) and Flumazenil (benzodiazepine overdose) administration
Time frame: 24 Hours
Safety events - Significant event notes
To identify death events
Time frame: 24 Hours
PACU clinician satisfaction
From monthly surveys
Time frame: Through study completion, an average of 1 year