Evaluating the Efficiency of Smart Glasses in Reducing Patient Care Time in Emergency Medicine: Evidence from the Hangzhou Asian Games (Preprint)

Abstract

BACKGROUND Challenges in emergency medicine include overcrowding, insufficient emergency care resources and extended Emergency Department (ED) waiting times. These issues contribute to delays in treatment and unfavorable outcomes. Particularly worsened during the Covid-19 pandemic and events with large crowds. The integration of augmented reality (AR) smart glasses could potentially enhance patient care in the ED. OBJECTIVE To compare the duration of patient care in ED between the use and non-use of Augmented reality (AR) smart glasses during The 19th Asian Games and 4th Asian Para Games Hangzhou 2022 (HAG2022). METHODS This retrospective study conducted between September 13, 2023, and October 28, 2023, during HAG2022. The data gathered from AR smart glasses at the HAG2022 village and electronic health records at Sir Run Run Shaw Hospital, China. The study included two groups: teleconsultation by AR telemedicine system (ARTS) group and no teleconsultation by AR telemedicine system (non-ARTS) groups. The main data assessed were pre-preparation time (PPT) and consult response time (CRT) in ED. RESULTS During the research period, 80 patients were divided into two cohorts: the ARTS cohort (n=10) and the non-ARTS cohort (n=70). Gender and age demographics showed no significant differences between the cohorts. The ARTS cohort had a significantly lower average PPT of 23.0 minutes compared to the non-ARTS cohort's 40.3 minutes (P<.001). Additionally, CRT in the ARTS cohort was significantly lower at 15.6 minutes compared to the non-ARTS cohort's 164.8 minutes (P=.03). The outcomes suggest that smart glasses are effective in decreasing PPT and CRT. CONCLUSIONS Augmented reality smart glasses in the EDs can improve patient admissions efficiency and care time in ED. More research is needed to confirm their effectiveness in emergency medicine. CLINICALTRIAL approval no.srrsheca2023-0597

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