作者: Thomas E. Feasby , Alan J. Forster , Carl Van Walraven , Rinda Labranche , Robert Mckim
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摘要: OBJECTIVE To test the feasibility and utility of an interactive voice response system (IVRS) for monitoring patients after outpatient surgery. METHODS We studied consecutive undergoing gynecologic day The IVRS called on first postoperative asked them if they were experiencing new problems. Feasibility was assessed in terms call responses acceptance by patients. Utility measured ability to identify adverse events (AEs), defined as procedure-related symptoms requiring a physician or hospital visit. contacted 30 days later elicit their perceptions determine AE status. RESULTS Follow-up complete 249 270 enrolled (92%). successfully 130 (52%). Of 22 (17%) who required follow-up phone call, 9 had problem related surgery, 7 worsening symptoms, 6 wanted speak with nurse, 1 medication-related problem. Patients remembering automated (n = 96) reported easy use (82%) comprehend (86%). Most (68%) preferred personal (probability greater than 50%, P <.001). AEs occurred 40 (16%; 95% confidence interval 12%, 21%). did not any because 90% these call. CONCLUSION An IVRS-based method surgery is feasible. improve utility, calls must occur day.