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Jose Francisco Francisco Perez-Vazquez, Roberto Garcia-Vazquez, Karen Jazmin Herrera-Juarez, Roberto Gonzalez-Salinas, Santiago Soberon, Rosario Gulias-Cañizo, Valeria Sanchez-Huerta, Hugo Quiroz-Mercado; Efficiency in consultation time through the use of Smartphone Care Collaboration Software on new patients at a tertiary eye care center. Invest. Ophthalmol. Vis. Sci. 2018;59(9):5243.
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The aim of this study was to compare the measured effective assessment time and the re-evaluation time for new admitted patients using the standard medical record or employing smartphone technology (Paxos® software), which allows real-time collaboration via an electronic health encounter record, in order to reduce the time spent during patient evaluation, thus enhancing the overall response time.
This is a prospective, observational and comparative study performed at the Association for Preventing Blindness (APEC) in Mexico City from February to October 2017. A research fellow teamed up with a third-year resident to evaluate patients on their first consultation. A complete registration was obtained from the patient's consultation time; the research fellow employed the Paxos® software and the ophthalmology resident used the standard medical record. Data regarding consultation time was captured for effective assessment time and re-evaluation time for new admitted patients. A Wilcoxon matched-pairs signed rank test was employed to assess significance between groups. In addition, Pearson correlation coefficient (r) was obtained between assessment time and years of age from all included patients.
A total of 50 patients were included in this study. The effective assessment time using the standard medical record was 130.4 ± 72.24 minutes, whereas using the Paxos® software was 106.6 ± 68.92 (P < 0.0001). Main re-evaluation time using standard medical record was 107.1 ± 72.08 minutes, whereas using Paxos® was 93.08 ± 102.7 minutes (P < 0.0001). In addition, a negative correlation (r = -0.114; P = 0.428) was found between the effective assessment time and patients’ years of age using the standard medical record, whereas a positive correlation (r = 0.152; P = 0.301) was evidenced using Paxos®.
Both the effective assessment time and the re-evaluation time were significantly reduced when employing the Paxos® software. In addition, the negative correlation found using the standard medical record signified a more prolonged consultation time on younger patients, whereas the opposite was evidenced when using Paxos®, demonstrating a more efficient use of time in younger patients.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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