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Appl Clin Inform. 2016 Jul 6;7(3):646-52. doi: 10.4338/ACI-2015-12-CR-0168.

Patient-generated Digital Images after Pediatric Ambulatory Surgery.

Author information

1
Matthew Miller, BS, Clinical Research Assistant, The Children's Hospital of Philadelphia, 3535 Market Street, Suite 1512, Philadelphia, PA 19104, Phone: 215.590.3289, Email: millerm12@email.chop.edu.

Abstract

OBJECTIVE:

To describe the use of digital images captured by parents or guardians and sent to clinicians for assessment of wounds after pediatric ambulatory surgery.

METHODS:

Subjects with digital images of post-operative wounds were identified as part of an on-going cohort study of infections after ambulatory surgery within a large pediatric healthcare system. We performed a structured review of the electronic health record (EHR) to determine how digital images were documented in the EHR and used in clinical care.

RESULTS:

We identified 166 patients whose parent or guardian reported sending a digital image of the wound to the clinician after surgery. A corresponding digital image was located in the EHR in only 121 of these encounters. A change in clinical management was documented in 20% of these encounters, including referral for in-person evaluation of the wound and antibiotic prescription.

CONCLUSION:

Clinical teams have developed ad hoc workflows to use digital images to evaluate post-operative pediatric surgical patients. Because the use of digital images to support follow-up care after ambulatory surgery is likely to increase, it is important that high-quality images are captured and documented appropriately in the EHR to ensure privacy, security, and a high-level of care.

KEYWORDS:

Ambulatory care information systems; clinical images; patient records; surgery; workflow

PMID:
27452477
PMCID:
PMC5052538
[Available on 2017-07-06]
DOI:
10.4338/ACI-2015-12-CR-0168
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