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Implementing touch-screen technology to enhance recognition of distress
K Clark1, W A Bardwell, T Arsenault
1Sheri & Les Biller Patient and Family Resource Center, City of Hope, Duarte, CA, USA. kclark@coh.org
Psycho-Oncology
|December 17, 2008
Summary
Implementing touch-screen technology for real-time patient distress screening in cancer centers is feasible. Early staff involvement is key to overcoming implementation barriers and improving patient care pathways.
Area of Science:
- Oncology
- Health Informatics
- Patient Support Services
Background:
- Psychosocial distress significantly impacts cancer patients' quality of life.
- Early identification and management of distress are crucial for comprehensive cancer care.
- Implementing technology for real-time patient communication presents unique challenges.
Purpose of the Study:
- To describe the implementation of touch-screen technology for real-time psychosocial distress screening.
- To establish this screening as standard care for outpatients at a comprehensive cancer center.
- To investigate practical issues associated with technology-assisted psychosocial screening.
Main Methods:
- Utilized the 'How Can We Help You and Your Family?' screening instrument via touch-screen technology.
- Employed a HIPAA-compliant approach for data management and patient identification.
- Screening facilitated identification for clinical services, program development, research, education, clinical trials, and support services.
Main Results:
- The primary barrier to implementation was the negative attitude of front desk staff towards the technology.
- Active involvement of administrative personnel during the planning phase is essential for successful adoption.
- Computerized screening effectively bridged the gap between distress detection and necessary referrals for assessment or treatment.
Conclusions:
- Computerized problem-related distress screening is a feasible program for comprehensive cancer centers.
- Addressing staff attitudes and ensuring their early involvement are critical for successful implementation.
- This technology enhances the ability to connect patients with needed psychosocial support services.
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