None listed
Conditions
Brief summary
Currently, patients are required to attend outpatient clinics for face to face assessment of medical conditions by clinical staff prior to elective surgery. It is hypothesised that a computer-assisted smart questionnaire, delivered by phone, will provide information of sufficient quality to allow patients to be assessed by clinicians on the day of surgery, rather than at a separate preoperative hospital visit. A three phase approach to piloting this new process for preoperative assessment is proposed as follows: Phase 1: Phone screening in parallel with standard outpatients visits at LMHS and TQEH. Call centre data marked but not used for patient treatment. Phase 2: Prospective trial of a total of 1,000 patients at TQEH and the RAH. All patients will attend a streamlined outpatient clinic after phone pre-screening Phase 3: A further 1,000 patients at TQEH and the RAH will be screened by telephone and then triaged to either a streamlined outpatient review or bypass out patinet review and assessed by the anaesthetist on day of surgery. In all cases treating anaesthetists will be asked to mark the pre-assessements for errors or omissions.
Interventions
A phone questionnaire is conducted to assess current medical conditions.
A phone call is made to a patient scheduled for upcoming elective surgery. A phone operator takes the patient through a series of questions and (largely tick box) answer options. The questions are generated by a computer-based smart questionnaire. It takes around 15-20 minutes.
The responses are then reviewed by an anaesthetist, and a follow up phone call is then made, if there are residual queries.
In this tria
A phone questionnaire is conducted to assess current medical conditions. A phone call is made to a patient scheduled for upcoming elective surgery. A phone operator takes the patient through a series of questions and (largely tick box) answer options. The questions are generated by a computer-based smart questionnaire. It takes around 15-20 minutes. The responses are then reviewed by an anaesthetist, and a follow up phone call is then made, if there are residual queries. In this trial, patients undergo both telephone and face to face assessment. Face to face outpatient assessment occurs within one month of conduct of the quesionnaire. If successful, face to face outpatient assessment may be unnecessary for some patients, but this is beyond the scope of this trial.
Sponsors
Lyell McEwin Health Service
Study design
Allocation
Non-randomised trial
Primary purpose
Diagnosis
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Scheduled for elective surgery within 2-20 weeks. Aged greater than or equal to 18 years. Good English comprehension. Have the capacity to answer questions about own health
Exclusion criteria
Aged < 18 years. Not consenting to participate. Non-English speaking. Do not have capacity to answer questions about own health.
Outcome results
None listed