Post-Operative Pain App (P.O.P.)
Dr. Michael Leu submitted an idea for a pain management app to the 2016 Microsoft Hack-for Good. This idea was selected and over the course of one week a team of Microsoft employees coded a very rough prototype. SCH e-Health team committed to internal development of app. Tonsil and adenoidectomy (T&A) surgeries are the 2nd largest volume procedure in the Otolaryngology department. Team would like to provide families with a digital tool that provides pain medication tracking and reminders as well as education regarding post-operative care. The pilot will be conducted with patients having T&A procedures at Bellevue Surgery Center (higher volume, throughput process, ease of implementation, engagement with parents, more uniform in complexity).
- Understand the typical post-op pain pattern.
- Quantify how much pain medication is needed.
- To keep patients safe from overuse of opioids via pain management education and tracking (long term goal).
- Educate families on what to expect as normal side-effects after surgery.
Findings & Reach
Duration of Pilot
3/6/2018 to 2/25/2019
Extended pilot to reach >150 downloads per a mid-pilot meeting
# of T&A surgeries performed
Based on EHR data
# of downloads
172 = 24.5% conversion
This cannot be decisively concluded because we cannot be certain that every surgical patient was offered the app nor can we be certain every download was a part of our population
Highest area of usage
# times pain medication logged: 4000
Predominantly Acetaminophen and Ibuprofen
Most frequently viewed education
Pain & Comfort: 450 views
Pages far more popular than PDFs or videos
Median length of engagement
Our data was on pain curve and medication use skewed due to lack of standardization in use duration
- Parents watched videos & read content early in post-op period.
- Opioid use and pain curve not assessable:
- Limited knowledge collected because uncontrolled use of app.
- No single individual matched the expected pain curve.