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J Korean Soc Emerg Med > Volume 25(1); 2014 > Article
Journal of The Korean Society of Emergency Medicine 2014;25(1): 103-108.
The Usefulness of Tablet Computer for Self-surveys of Child-bearing Aged Women Who Visit the Emergency Department with Abdominal Pain
Yongjoo Park, Jonghwan Shin, Hui Jai Lee, Kijeong Hong, Jin Hee Jung
Department of Emergency Medicine, College of Medicine, Seoul National University, Seoul Metropolitan Boramae Medical Center, Seoul, Republic of Korea. skyshiner@naver.com
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 self-registry using a tablet computer and a traditional paper registry for taking history of child-bearing aged women.
We reviewed the prospective registries of child-bearing 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.
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).
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.
Key words: Emergency medicine, Medical history taking, Registries, Women, Privacy
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