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Use of text messaging to improve patient experience and communication with pediatric tonsillectomy patients
Laurie Newton1, Cecille Sulman1
1Children's Hospital of Wisconsin / Medical College of Wisconsin - Milwaukee, 8915 W. Cornell Ct., Milwaukee, WI, 53226, USA.
Insights
Text messaging improved communication and reduced anxiety for pediatric tonsillectomy patients. This innovative approach enhanced the overall surgical experience by providing timely information and support.
Area of Science:
- Healthcare Technology
- Patient Communication
- Surgical Quality Improvement
Background:
- Pediatric tonsillectomy is a common surgical procedure.
- Effective patient and family communication is crucial for a positive surgical experience.
- Traditional communication methods may have limitations in delivering timely information.
Purpose of the Study:
- To develop and implement a text messaging service for pediatric tonsillectomy patients.
- To enhance pre- and postoperative communication and patient experience.
- To assess the effectiveness of text message-based education and reminders.
Main Methods:
- A text messaging service was designed to deliver pre- and postoperative information.
- The service was piloted on five patients, then expanded to 85 pediatric tonsillectomy patients.
- Patient outcomes and parental satisfaction were evaluated.
Main Results:
- No canceled procedures or emergency department visits were reported in the larger sample.
- Approximately 25% of patients contacted the clinic nurse line postoperatively, primarily for pain management concerns.
- Parental surveys indicated high satisfaction, with messages found useful, easy to understand, and anxiety-reducing.
Conclusions:
- Text messaging offers an innovative and effective method for patient education in pediatric surgery.
- This technology can improve communication and the overall experience for patients undergoing tonsillectomy.
- Leveraging smartphone use can enhance patient support and streamline postoperative care.
Objectives:
The aims of this quality improvement project were to develop a text messaging service to deliver messages to pediatric tonsillectomy patients to improve communication and overall experience.
Method:
Text messages were developed to deliver important information and reminders both preoperatively and postoperatively to pediatric tonsillectomy patients. After success with a small pilot program of five patients, a sample of 85 patients who underwent tonsillectomy participated in the program.
Results:
Similar to the pilot program, the larger sample size had no canceled procedures and no visits to the emergency department. Approximately 25% of the participants called the ENT clinic nurse line for a question or concern postoperatively. The majority of phone calls were for concerns with pain or pain medications. Parental survey results were positive with respect to the value and overall helpfulness of the text messages. Respondents found the information useful, easy to understand, and it also helped reduce anxiety or level of worry during and after the surgery. Respondents all felt that the number of messages was just right.
Conclusion:
With the explosion of technology and smartphone use, text messaging is an innovative way to provide patient/family education for surgical procedures such as tonsillectomy.
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