KMID : 0385920140250010103
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Journal of the Korean Society of Emergency Medicine 2014 Volume.25 No. 1 p.103 ~ p.108
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The Usefulness of Tablet Computer for Self-surveys of Child-bearing Aged Women Who Visit the Emergency Department with Abdominal Pain
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Park Yong-Joo
Shin Jong-Hwan Lee Hui-Jai Hong Ki-Jeong Jung Jin-Hee
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Abstract
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Purpose: In the emergency department (ED), identification of the obstetrical and gynecologic history for diagnosis of child-bearing aged women who present with abdominal pain is very important. We compared the usefulness of selfregistry using a tablet computer and a traditional paper registry for taking history of child-bearing aged women.
Methods: We reviewed the prospective registries of childbearing aged women presenting with abdominal pain without underlying disease to the ED of the Seoul Metropolitan Boramae Medical Center. We used a paper version of this registry from April 2008 to April 2011. From May 2011 to October 2012, we used the Smart Medical Registry (SMR), where the patient used a tablet computer to record her own data. The registries of child-bearing aged women included information on the patient`s basic information, medical history, gynecologic history, symptoms, physician`s examination, and laboratory results. We performed statistical analysis of the difference between the paper registry and SMR.
Results: A total of 1193 patients were registered. Among them, 835 patients were registered using the SMR. There were no statistically significant differences in the patients` basic information and diagnostic classification. However, the SMR group reported more recent history of pelvic inflammatory disease (p<0.01), higher number of abortions (p<0.01), and higher number of sexual partners (p<0.01).
Conclusion: Using the tablet computer based self-survey, patients had a more positive tendency toward answering privacy sensitive items. Therefore, it might be more useful and effective in obtaining sensitive, private information from patients.
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KEYWORD
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Emergency medicine, Medical history taking, Registries, Women, Privacy
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