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Does Wearable Medical Technology With Video Recording Capability Add Value To On-Call Surgical Evaluations?
*Jacqueline Y Boehme1, *Sameer Gupta1, *Kelly Manser2, *Jannine Dewar2, *Amie Miller2, *Gina Siddiqui3, Steven Schwaitzberg1,2
1Harvard Medical School, Boston, MA;2Cambridge Health Alliance, Cambridge, MA;3Perelman School of Medicine, Philadelphia, PA
OBJECTIVES: To determine whether or not wearable medical technology with recording capability adds value to on-call surgical evaluations. To understand patients’ attitudes about the use of this technology in the environment of their care.
DESIGN: Prospective non-randomized trial. Anonymized patient and physician surveys.
SETTING: Community teaching hospital ED.
PARTICIPANTS: 276 patients presenting to ED with non-emergent complaints, four PAs, and seven surgical attendings.
INTERVENTIONS: (1)Medical wearable technology was used to photograph and video record pertinent clinical findings. This media was uploaded to a secure server. Based on the standard telephonic consult with responding PA, the surgeon formulated initial management plan and documented confidence in it. Access to media was then made available to the surgeon, who modified plan and confidence level. (2)Patients completed anonymous surveys regarding their opinions on the use of wearable technology in the environment of their care.
OUTCOME MEASURES: Surgeon opinions on the quality of captured visual media and its impact on case management and surgeon confidence in clinical plan. Patient attitudes regarding the use of wearable recording technology in the ED.
RESULTS: Surgeons reported the visual media was helpful in 64% (29) of cases. Surgeons gained confidence in their management plan in 44% (20) of cases. The surgeon’s management plan changed after exposure to Glass-captured media in 24% (11) of cases, with 6.7% (3) cases changing from more conservative management to immediate operative intervention. Despite privacy concerns regarding the use of wearable recording in their care, most patients were open to its use.
CONCLUSIONS: (1)Multimedia data adds clinically significant information to surgical consultations. (2)Despite privacy concerns, most patients are amenable to the use of wearable technology in their environment of care.
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