Evaluation of a preoperative personalized risk communication tool: a prospective before-and-after study

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Evaluation of a preoperative personalized risk communication tool: a prospective before-and-after study E´valuation d’un outil de communication du risque pre´ope´ratoire personnalise´ : une e´tude prospective avant-apre`s Emily Hladkowicz, MA, Ed . David Yachnin, MSc . Laura Boland, PhD . Kumanan Wilson, MD, FRCPC . Annette McKinnon . Kira Hawrysh . Terry Hawrysh . Cameron Bell, B.Eng . Katherine Atkinson, PhD(c) . Carl van Walraven, MD, FRCPC . Monica Taljaard, PhD . Kednapa Thavorn, BPharm, PhD . Dawn Stacey, PhD . Homer Yang, MD, FRCPC . Christopher Pysyk, MD, FRCPC . Husein Moloo, MD, FRCSC . Doug Manuel, MD, FRCPC . David MacDonald, MD, FRCPC . Luke T. Lavalle´e, MD, FRCSC . Sylvain Gagne, MD, FRCPC . Alan J. Forster, MD, FRCPC . Gregory L. Bryson, MD, FRCPC . Daniel I. McIsaac, MD, FRCPC Received: 6 March 2020 / Revised: 20 May 2020 / Accepted: 22 May 2020 Ó Canadian Anesthesiologists’ Society 2020

Abstract Purpose Patients want personalized information before surgery; most do not receive personalized risk estimates. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s12630-020-01809-y) contains supplementary material, which is available to authorized users. E. Hladkowicz, MA, Ed Department of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada School of Rehabilitation Therapy, Queens’ University, Kingston, ON, Canada

Inadequate information contributes to poor experience and medicolegal complaints. We hypothesized that exposure to the Personalized Risk Evaluation and Decision Making in Preoperative Clinical Assessment (PREDICT) app, a personalized risk communication tool, would improve

A. McKinnonK. HawryshT. Hawrysh The Ottawa Hospital, Ottawa, ON, Canada C. Bell, B.Eng Ottawa Hospital Research Institute, Ottawa, ON, Canada

Ottawa Hospital Research Institute, Ottawa, ON, Canada

K. Atkinson, PhD(c) Department of Public Health Science, Karolinska Institute, Solna, Sweden

D. Yachnin, MSc Department of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada

C. van Walraven, MD, FRCPC  A. J. Forster, MD, FRCPC Ottawa Hospital Research Institute, Ottawa, ON, Canada

Ottawa Hospital Research Institute, Ottawa, ON, Canada

Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada

L. Boland, PhD Ottawa Hospital Research Institute, Ottawa, ON, Canada School of Health Studies, Western University, London, ON, Canada K. Wilson, MD, FRCPC Ottawa Hospital Research Institute, Ottawa, ON, Canada Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada

School of Epidemiology & Public Health, University of Ottawa, Ottawa, ON, Canada M. Taljaard, PhD  K. Thavorn, BPharm, PhD  D. Manuel, MD, FRCPC Ottawa Hospital Research Institute, Ottawa, ON, Canada School of Epidemiology & Public Health, University of Ottawa, Ottawa, ON, Canada

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patient knowledge and satisfaction after anesthesiology consultations compared with