Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Lack of logistic capabilities at the study site
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This pilot study will intend to assess the feasibility and acceptability of MyPreOp (online pre-operative assessment tool). The study will aim to assess the quality of the MyPreOp assessment in comparison to standard practice of a nurse led face to face assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and staff participants.
MyPreOp is a patient online pre-assessment tool that has been developed as a means of an alternative to the current existing model of a nurse led pre-assessment service.
This pilot study will intend to assess the feasibility and acceptability of MyPreOp. The study will primarily evaluate the quality of the MyPreOp assessment in comparison to standard practice of a nurse led assessment. The investigators will also assess the acceptability of MyPreOp amongst patient participants and pre-assessment nurses and anaesthetists.
Participants will be recruited directly from the pre-assessment clinic. Consenting participants will alternate undergoing either the MyPreOp assessment or the nurse assessment first. Participants will complete the MyPreOp assessment on a computer device at the hospital. Participants will also complete a nurse led pre-assessment process as per standard practice. Following the completion of both the MyPreOp assessment and the nurse assessment, participants will be asked to complete a satisfaction questionnaire about their experience of using MyPreOp, together with further questions about their home internet access, usage and their preference of electronic or nurse led assessments.
Similarly pre-assessment nurses will review a random sample of MyPreOp assessments and complete a questionnaire about their views of the MyPreOp assessment summary and recommended actions.
The MyPreOp assessments will be compared with the nurse assessments through an independent adjudication process. Nominated adjudicators will be Consultant Anaesthetists with regular clinical duties in the pre-assessment clinic. Adjudicators will not be blinded with respects to the assessments so that the manner in which the patient data is presented can also be compared as well as the data itself. Adjudicators will assess the performance of the MyPreOp assessment in two domains, medical history and recommended investigations, and assign them into graded categories of over or under assessment, with or without clinical significance.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients attending the preoperative assessment clinic | Patients in preoperative assessment clinic |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MyPreOp assessment | Device | MyPreOp is an online preoperative assessment programme created by a medical software company called Ultramed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The event rate of MyPreOp assessments that are judged as under assessments that would affect perioperative management following an adjudication review | Through study completion,an average of 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of participants requiring assistance to complete MyPreOp | Through study completion,an average of 6 months | |
| The median time taken for a nurse assessment of the MyPreOp summaries | This will be collected from the nurse questionnaire data ie the nurse would report the time taken to assess the MyPreOp summaries. The investigators will not be directly measuring the time. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
The study group will be taken from a single centre. The patient population will be patients being assessed prior to general, gynaecological, urological and orthopaedic surgery. The investigators selected this population as they represent a diverse sample of patients of both genders with a varying range of ages and co-morbidities for both ambulatory and inpatient surgery.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Ramani Moonesinghe, FRCA MD(Res) | Director UCL/UCLH Surgical Outcomes Resource Centre, Consultant Anaesthetics and Intensive Care Medicine, UCLH Honorary Lecturer | Study Chair |
Not provided
The investigators plan to publish anonymised study results on the Surgical Outcome Research Centre website. http://www.uclsource.com/
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Nurse led assessment | Other | Standard practise is where patients undergo a face to face preoperative assessment led by a qualified nurse specialising in this field. |
|
|
| Through study completion,an average of 6 months |
| Patient satisfaction | Qualitative analysis of patient satisfaction when using MyPreOp. The data will be extracted from the patient satisfaction questionnaire. | Through study completion,an average of 6 months |
| Nurse satisfaction | Qualitative analysis of nurse satisfaction when evaluating the MyPreOp summaries. The data will be extracted from the nurse satisfaction questionnaire. | Through study completion,an average of 6 months |
| Anaesthetist satisfaction | Qualitative analysis of anaesthetic satisfaction when evaluating the MyPreOp summaries. The data will be extracted from the anaesthetic satisfaction questionnaire. | Through study completion,an average of 6 months |