PD19-04 A MOBILE POINT-OF-CARE APPLICATION FOR URETERAL STENT TRACKING

Abstract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology II1 Apr 2016PD19-04 A MOBILE POINT-OF-CARE APPLICATION FOR URETERAL STENT TRACKING Justin Ziemba, Wesley Ludwig, Leticia Ruiz, Eduardo Carvalhal, and Brian Matlaga Justin ZiembaJustin Ziemba More articles by this author , Wesley LudwigWesley Ludwig More articles by this author , Leticia RuizLeticia Ruiz More articles by this author , Eduardo CarvalhalEduardo Carvalhal More articles by this author , and Brian MatlagaBrian Matlaga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1403AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The “forgotten” ureteral stent is a significant hazard that can lead to invasive surgery and loss of renal function. To date, tracking stents is a cumbersome task, given their high frequency of placement and variable indwelling times. To simplify this process an application was designed to track patients with indwelling ureteral stents. METHODS Ureteral Stent Tracker® is a secure mobile cloud-based point-of-care (POC) application designed for logging stent insertion, scheduling the date of anticipated stent extraction, and confirming stent removal. It is accessible via a mobile phone application or web browser interface. We enrolled all patients of an international healthcare network who required a stent following ureteroscopy during a 12 week period. A unique profile with name and medical record number was created for each patient. Within the profile, a stent care plan was created that included manufacturer, type, serial number, size, laterality, date of insertion, date of anticipated extraction, and confirmed date of extraction (Figure 1). The application provides a real-time dashboard of all stent care plans within the practice (Figure 2) and can generate weekly email reminders to providers. RESULTS A total of 41 patients were enrolled in the study, which represented 42 ureteral stents. All patients had a profile and care plan created within the application at the time of stent insertion in the operating room. Stent removal was performed in the clinic and then marked as extracted in the care plan. At the end of the study period, a total of 16 (38%) stents were extracted with the remaining 26 (62%) indwelling and scheduled for extraction. No patients were lost to follow up. CONCLUSIONS Stent insertion, anticipated extraction, and confirmation of removal can easily be monitored with a secure mobile cloud-based POC application. Incorporating this system into routine workflow will prevent the “forgotten” stent, which is a significant risk in a busy urologic practice. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e446-e447 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Justin Ziemba More articles by this author Wesley Ludwig More articles by this author Leticia Ruiz More articles by this author Eduardo Carvalhal More articles by this author Brian Matlaga More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...