A Digital Patient-Led Hospital Checklist for Enhancing Safety in Cataract Surgery: Qualitative Study
Aline C Stolk-Vos1,2,3, Jolet Je van der Steen4, Constance Hc Drossaert5
1Rotterdam Ophthalmic Institute, Rotterdam, Netherlands.
JMIR Perioperative Medicine
|January 6, 2021
Summary
A digital patient-led checklist, EYEpad, shows promise for enhancing patient participation in cataract surgery safety. While usable, clear communication about its purpose is needed for effective implementation and shared responsibility.
Area of Science:
- Health Informatics
- Patient Safety
- Surgical Care
Background:
- Iatrogenic harm in surgery necessitates improved communication and patient engagement.
- Information technology offers potential solutions for patient involvement in surgical processes.
Purpose of the Study:
- To assess the feasibility and user experience of a digital patient-led checklist for cataract surgery.
- To evaluate patient and nurse perspectives on the EYEpad's use, appreciation, and impact on safety.
Main Methods:
- A 19-item digital checklist (EYEpad) was developed for ambulatory cataract surgery patients.
- Qualitative methods, including 17 patient interviews and a 6-nurse focus group, were used for data collection.
- Transcripts were analyzed using deductive and inductive coding by two independent coders.
Main Results:
- The EYEpad was utilized by most patients, often with companion assistance.
- Patients reported positive usability but lacked clarity on the checklist's purpose.
- Nurses found the EYEpad easy to use but noted potential challenges with elderly patients and workflow integration.
Conclusions:
- Digital patient-led checklists can enhance patient participation in surgical safety, including among elderly individuals.
- Nurses play a vital role in the adoption of technological innovations in healthcare.
- Empowering both patients and healthcare workers is essential for improving safety through shared responsibility.
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