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JMIR Perioperative Medicine (JPOP, Editor-in-chief: John F. Pearson MD, Harvard Medical School) is a new sister journal of JMIR (the leading open-access journal in health informatics (Impact Factor 2017: 4.671), focusing on technologies, medical devices, apps, engineering, informatics and patient education for perioperative medicine and nursing, including pre- and post-operative education, preventative interventions and clinical care for surgery and anaesthesiology patients, as well as informatics applications in anesthesia, surgery, critical care and pain medicine.
As open access journal we are read by clinicians and patients alike and have (as all JMIR journals) a focus on readable and applied science reporting the design and evaluation of health innovations and emerging technologies. We publish original research, viewpoints, and reviews (both literature reviews and medical device/technology/app reviews).
During a limited period of time, there are no fees to publish in this journal. Articles are carfully copyedited and XML-tagged, ready for submission in PubMed Central.
Be a founding author of this new journal and submit your paper today!
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Background: Escalating demand for specialist healthcare puts considerable demand on hospital services. Technology offers a means by which healthcare providers may increase the efficiency of healthcare...
Background: Escalating demand for specialist healthcare puts considerable demand on hospital services. Technology offers a means by which healthcare providers may increase the efficiency of healthcare delivery. Objective: To assess the feasibility, acceptability and efficiency of a virtual clinic in the post operative general surgical setting. Methods: Methods: Patient satisfaction with current care and attitudes to virtual clinic (VC) were surveyed prospectively in the general surgical outpatient department (OPD). A subset of patients who had undergone endoscopy and day surgery were recruited to follow up in virtual clinic and subsequently surveyed with regards to their satisfaction. Other outcomes measured included a comparison of consultation times in traditional and virtual outpatient settings, and financial cost to both patients and the institution. Results: Results: Almost half of patients reported barriers to prospective use of virtual clinics. However, within the cohort who had been followed up in the virtual clinic, satisfaction was higher than the traditional OPD. Significant savings in both time and financial costs to patients and the institution were found. Conclusions: Conclusion: For an appropriately selected group of patients, virtual clinics offer a viable alternative to traditional OPD. This alternative can improve both patient satisfaction and efficiency of patient care.
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Background: Emphasis on outpatient pediatric surgical procedures places the burden of responsibility for post-operative pain management on parents/guardians. Panda is a smartphone application (app) th...
Background: Emphasis on outpatient pediatric surgical procedures places the burden of responsibility for post-operative pain management on parents/guardians. Panda is a smartphone application (app) that provides scheduled medication alerts and allows parents to track their child’s pain and medication administration. We have previously tested and optimized the usability and feasibility of Panda within the hospital setting. Objective: The purpose of this study was to evaluate and optimize the feasibility of Panda for use at home, based on alert response compliance (response to any medication notification within 1 hour) and parents’ satisfaction. Methods: Parents/guardians of children undergoing day surgery were recruited to use Panda at home for 1-7 days to manage their scheduled medications and to assess their child’s pain. After surgery, a research assistant guided parents through app setup before independent use at home. We aimed to recruit ten child/caregiver pairs in each of three rounds of evaluation. Each user’s compliance with the recommended medication alerts was analyzed through audit-trail data generated during the use of the app. We used the Computer System Usability Questionnaire (CSUQ) and a post-study phone interview to evaluate the app’s ease of use and identify major barriers to adoption. Suggestions provided during the interviews were used to improve the app between each round. Results: Twenty-nine child/caregiver pairs participated in 3 rounds, using the app for 1-5 days. Alert response compliance (response to any medication notification within 1 hour) improved as the study progressed: participants responded to 30% (22-33) (median, interquartile range) of alerts within 1 hour in Round 1, and subsequently to 60% (44 – 64) in Round 2 and 64% (56 – 72) in Round 3 (P = .005); similarly, response times decreased from 131 (77 – 158) minutes in Round 1 to 31 (18 – 61) minutes in Round 2 and 10 (2 – 14) minutes in Round 3 (P = .002). Analysis of interview feedback from the first 2 rounds revealed usability issues, such as complaints of too many pages and trouble hearing app alerts, which were addressed to streamline app function, as well as improve visual appearance and audible alerts. Conclusions: It is feasible for parents/guardians to use Panda at home to manage their child’s medication schedule and track their pain. Simple modifications to the apps alert sounds and user interface improved response times.