Erste Erfahrungen mit einer digitalen Patientenaufklärung im klinischen Alltag

Raatschen, Hans-Juergen; Alikhani, Babak; Hensen, Bennet; Cartes, M.; Bestenbostel, M von; Wacker, F

doi:10.1055/s-0037-1600183

Cited by 1 publication

(6 citation statements)

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“…Für den Einsatz eines Roboters in der Radiologie wäre neben therapeutischen Ansätzen das Informationsgespräch im Rahmen der Aufklärung denkbar: Die Informationsvermittlung vor diagnostischen Untersuchungen wie CT und MRT ist ein gut standardisierter, bereits in digitaler Form verfügbarer Arbeitsschritt [19]. Zwar ist das Aufklärungsgespräch eine nicht delegierbare ärztliche Tätigkeit (Aufklärungspflicht § 630e BGB); allerdings kann bei Routineeingriffen ein Merkblatt mit Informationen ausreichen, sofern Patienten die Möglichkeit erhalten, mit dem behandelnden ärztlichen Personal offene Fragen zu besprechen.…”

Section: Introductionunclassified

“…Einzelne Studien zeigen, dass Tablet-Computer-basierte Informa-tionen der reinen Papierform vorgezogen werden [20] bzw. dieser zumindest ebenbürtig sind [19].…”

Section: Introductionunclassified

“…Der Einsatz eines humanoiden Roboters wäre als Alternative zur Verwendung einer Tablet-gestützten Informationsvermittlung denkbar, da die zusätzlichen, dem Menschen angenäherten Aspekte des Roboters die Aufmerksamkeit und damit die Informationsaufnahme verbessern könnten. Die Vorteile der Tabletgestützten Informationserfassung und -vermittlung gegenüber einem Papierbogen (höhere Ausfüllquoten und geringere Wahrscheinlichkeit von Informationsverlust) [19] Patienten, die nicht an der Studie teilnehmen wollten, wurde angeboten, sich mittels Fragebogens zu den Gründen der Nichtteilnahme zu äußern. Von 18 Personen nutzten 15 (83 %) diese Möglichkeit, 3 wollten keine Angaben machen.…”

Section: Introductionunclassified

“…In radiology, the use of robots for therapeutic applications as well as information transfer as part of the informed consent discussion would be conceivable: Information transfer prior to diagnostic examinations like CT and MRI is a standardized work step that can already be performed digitally [19]. Although the informed consent discussion is a non-delegable task that must be performed by a physician (informed consent requirement § 630e of the German Civil Code), an information sheet can be sufficient in routine interventions as long as patients have the opportunity to discuss any unanswered questions with the treating physician.…”

Section: Introductionmentioning

confidence: 99%

“…Prior to diagnostic MRI examinations, the corresponding information is often also provided in the form of an information sheet. Individual studies show that tablet-based provision of information is preferred to paper [20] or that the two methods are at least considered equal [19].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Acceptance and Knowledge Transfer in Patient Information Before an MRI Exam Administered by Humanoid Robot Versus a Tablet Computer: A Randomized Controlled Study

Stoevesandt

Jahn

Watzke

et al. 2021

Rofo

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Purpose To investigate whether a humanoid robot in a clinical radiological setting is accepted as a source of information in conversations before MRI examinations of patients. In addition, the usability and the information transfer were compared with a tablet. Methods Patients were randomly assigned to a robot or tablet group with their consent prior to MRI. The usability of both devices was compared with the extended System Usability Scale (SUS) and the information transfer with a knowledge query. Reasons for refusal were collected by a non-responder questionnaire. Results At the University Hospital Halle 117 patients were included for participation. There was no statistically significant difference in gender and age. Of 18 non-responders, 4 refused to participate partly because of the robot; for another 3 the reason could not be clarified. The usability according to SUS score was different with statistical significance between the groups in the mean comparison and was one step higher for the tablet on the adjective scale. There was no statistically significant difference in knowledge transfer. On average, 8.41 of 9 questions were answered correctly. Conclusion This study is the first application, in a clinical radiological setting, of a humanoid robot interacting with patients. Tablet and robot are suitable for information transfer in the context of MRI. In comparison to studies in which the willingness to interact with a robot in the health care sector was investigated, the willingness is significantly higher in the present study. This could be explained by the fact that it was a concrete use case that was understandable to the participants and not a hypothetical scenario. Thus, potentially high acceptance for further specific areas of application of robots in radiology can be assumed. The higher level of usability perceived in the tablet group can be explained by the fact that here the interface represents a form of operation that has been established for years in all population groups. More frequent exposure to robots could also improve the response in the future. Key Points: Citation Format

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Section: Introductionunclassified

“…Einzelne Studien zeigen, dass Tablet-Computer-basierte Informa-tionen der reinen Papierform vorgezogen werden [20] bzw. dieser zumindest ebenbürtig sind [19].…”

Section: Introductionunclassified