Ignite Creation Date:
2024-05-05 @ 12:10 PM
Last Modification Date:
2024-10-26 @ 9:21 AM
Study NCT ID:
NCT00261157
Status:
COMPLETED
Last Update Posted:
2005-12-02
First Post:
2005-11-30
Brief Title:
Use of Robotic Telerounding After Operative Procedures
Sponsor:
University of California Davis
Organization:
University of California Davis
Study Overview
Official Title:
Use of Robotic Telerounding After Operative Procedures Does It Affect Patient Outcomes
Status:
COMPLETED
Status Verified Date:
2005-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This research is being done to test a two-way video system mounted on top of a robot After surgery the act of seeing and evaluating patients in the hospital is called standard rounding This research study will allow doctors to see and speak with their patients using the two-way video system - telerounding during their stay at the hospital The purpose of this study is to assess the safety of telerounding during a patients hospital stay
Our hypothesis is that post-operative morbidity and the time to identification of post-operative morbidity will not vary with this new method of rounding
Our hypothesis is that post-operative morbidity and the time to identification of post-operative morbidity will not vary with this new method of rounding
Detailed Description:
The Department of Urology and the University of California Davis has made a major commitment to the development of novel applications of advanced telecommunications to the practice of modern health care
Telemedicine has become an increasingly important although underutilized component of modern healthcare To date telemedicine has been limited to physician education in the form of video conferencing for seminars and to providing specialist consultation in rural medical clinics However given the recent technological advances in wireless Internet capabilities and the decreasing cost of these services we see alternate capabilities for this technology
As is well known the act of seeing patients at the bedside while they are hospitalized is called rounding For patients that have undergone an elective minimally invasive surgical procedure such as laparoscopy hospital stays have become brief events In fact the convalescence from these procedures is measured in days rather than weeks For most individuals the hospitalization is necessary to allow for the delivery of IV fluids to check serum chemistries and blood counts while waiting for bowel function to return To this end the physician bedside visit is in large part an opportunity to relay information regarding the progress of recovery based on objective laboratory and vital sign measures
We have developed a video-conferencing system that allows physicians to see and speak with their patients from a remote location telerounding In a randomized trial of telerounds versus standard rounds conducted while I was a Urology Fellow at Johns Hopkins we examined the impact of this form of post-operative management on elements of patient satisfaction with their hospitalization We found that patients managed with the telerounding system gave higher ratings for their hospitalization than those managed by standard bedside rounds One such application is the use of teleconferencing as a primary mode of post-operative care management telerounding In a prior study we performed at Johns Hopkins patients expressed higher ratings of satisfaction when the telerounding system was added to usual post-operative care However that project was not designed to address the issue of patient safety
The purpose of the study is to assess if there is a difference in patient outcomes when post-operative patients are managed with standard rounding versus telerounding Our primary outcome measure is time to recognition of post-operative morbidity The telerounding system will consist of a wireless Internet-based videoconferencing device mounted on a remotely controlled service robot
This study will be a prospective randomized trial The study population will consist of patients scheduled for laparoscopic radical prostatectomy for the treatment of prostate cancer
Patients will undergo their scheduled surgery and receive the usual perioperative and immediate post-operative care delivered by the recovery room staff Once transferred to the patient floor intervention patients will communicate with their attending physician on a daily basis via the teleconferencing system Intervention patients will not be seen at the bedside by their attending surgeon The hospital and resident staff will provide routine daily bedside care Patients may remove themselves from the study at any time by requesting a bedside visit by the attending physician The intervention will conclude with either the hospital discharge or identification of a major post-operative morbidity Intervention arm participants will then participate in a series of focus groups These sessions will serve as the basis for a detailed qualitative analysis of patient perceptions of this technology and its role in future health care
Telemedicine has become an increasingly important although underutilized component of modern healthcare To date telemedicine has been limited to physician education in the form of video conferencing for seminars and to providing specialist consultation in rural medical clinics However given the recent technological advances in wireless Internet capabilities and the decreasing cost of these services we see alternate capabilities for this technology
As is well known the act of seeing patients at the bedside while they are hospitalized is called rounding For patients that have undergone an elective minimally invasive surgical procedure such as laparoscopy hospital stays have become brief events In fact the convalescence from these procedures is measured in days rather than weeks For most individuals the hospitalization is necessary to allow for the delivery of IV fluids to check serum chemistries and blood counts while waiting for bowel function to return To this end the physician bedside visit is in large part an opportunity to relay information regarding the progress of recovery based on objective laboratory and vital sign measures
We have developed a video-conferencing system that allows physicians to see and speak with their patients from a remote location telerounding In a randomized trial of telerounds versus standard rounds conducted while I was a Urology Fellow at Johns Hopkins we examined the impact of this form of post-operative management on elements of patient satisfaction with their hospitalization We found that patients managed with the telerounding system gave higher ratings for their hospitalization than those managed by standard bedside rounds One such application is the use of teleconferencing as a primary mode of post-operative care management telerounding In a prior study we performed at Johns Hopkins patients expressed higher ratings of satisfaction when the telerounding system was added to usual post-operative care However that project was not designed to address the issue of patient safety
The purpose of the study is to assess if there is a difference in patient outcomes when post-operative patients are managed with standard rounding versus telerounding Our primary outcome measure is time to recognition of post-operative morbidity The telerounding system will consist of a wireless Internet-based videoconferencing device mounted on a remotely controlled service robot
This study will be a prospective randomized trial The study population will consist of patients scheduled for laparoscopic radical prostatectomy for the treatment of prostate cancer
Patients will undergo their scheduled surgery and receive the usual perioperative and immediate post-operative care delivered by the recovery room staff Once transferred to the patient floor intervention patients will communicate with their attending physician on a daily basis via the teleconferencing system Intervention patients will not be seen at the bedside by their attending surgeon The hospital and resident staff will provide routine daily bedside care Patients may remove themselves from the study at any time by requesting a bedside visit by the attending physician The intervention will conclude with either the hospital discharge or identification of a major post-operative morbidity Intervention arm participants will then participate in a series of focus groups These sessions will serve as the basis for a detailed qualitative analysis of patient perceptions of this technology and its role in future health care
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None