Abstract
BackgroundAs mobile devices and apps grow in popularity, they are increasingly being used by health care providers to aid clinical care. At our institution, we developed and implemented a point-of-care clinical photography app that also permitted the capture of video recordings; however, the clinical findings it was used to capture and the outcomes that resulted following video recording were unclear.ObjectiveThe study aimed to assess the use of a mobile clinical video recording app at our institution and its impact on clinical care.MethodsA single reviewer retrospectively reviewed video recordings captured between April 2016 and July 2017, associated metadata, and patient records.ResultsWe identified 362 video recordings that were eligible for inclusion. Most video recordings (54.1%; 190/351) were captured by attending physicians. Specialties recording a high number of video recordings included orthopedic surgery (33.7%; 122/362), neurology (21.3%; 77/362), and ophthalmology (15.2%; 55/362). Consent was clearly documented in the medical record in less than one-third (31.8%; 115/362) of the records. People other than the patient were incidentally captured in 29.6% (107/362) of video recordings. Although video recordings were infrequently referenced in notes corresponding to the clinical encounter (12.2%; 44/362), 7.7% (22/286) of patients were video recorded in subsequent clinical encounters, with 82% (18/22) of these corresponding to the same finding seen in the index video. Store-and-forward telemedicine was documented in clinical notes in only 2 cases (0.5%; 2/362). Videos appeared to be of acceptable quality for clinical purposes.ConclusionsVideo recordings were captured in a variety of clinical settings. Documentation of consent was inconsistent, and other individuals were incidentally included in videos. Although clinical impact was not always clearly evident through retrospective review because of limited documentation, potential uses include documentation for future reference and store-and-forward telemedicine. Repeat video recordings of the same finding provide evidence of use to track the findings over time. Clinical video recordings have the potential to support clinical care; however, documentation of consent requires standardization.
Highlights
BackgroundMayo Clinic’s institutional archives reference the use of video cameras to record surgeries as early as the 1930s using equipment that would be considered bulky by today’s standards
The features and functionality of the video recording function are identical to those previously described for the photography function [12] except that only 1 video recording can be uploaded for each anatomic site, and the newest version automatically launches from within our electronic health record (EHR) vendor’s proprietary mobile EHR app in a manner that hands off patient context, thereby obviating the need to manually search for the patient record within the PhotoExam app
The captured video recordings are stored on the local device only temporarily until they are successfully uploaded or the user closes the app—whichever comes first—after which, they are permanently deleted from the user’s device in a manner that is compliant with the Health Insurance Portability and Accountability Act (HIPAA)
Summary
Mayo Clinic’s institutional archives reference the use of video cameras to record surgeries as early as the 1930s using equipment that would be considered bulky by today’s standards. As the process of video recording patients has become easier, the use of rich media for clinical documentation and diagnostic purposes has evolved. Objective: The study aimed to assess the use of a mobile clinical video recording app at our institution and its impact on clinical care. People other than the patient were incidentally captured in 29.6% (107/362) of video recordings. Clinical impact was not always clearly evident through retrospective review because of limited documentation, potential uses include documentation for future reference and store-and-forward telemedicine. Clinical video recordings have the potential to support clinical care; documentation of consent requires standardization
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