A More Rapid, Rapid Response

Robison, Justin; Slamon, Nicholas

doi:10.1097/pcc.0000000000000855

Cited by 10 publications

(11 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 For hospitalized patients there are numerous reports of using telehealth for rapid evaluation for intensive care and subspecialty consults such as dermatology, infectious diseases, and psychiatry, where a thorough chart review, history, and visual exam may provide consultants with sufficient information to make clinical recommendations. [9][10][11][12][13][14][15][16][17][18] Telehealth has also been used to engage patients and families in their care during and after hospitalization. [19][20][21] One major limitation to the widespread adoption of telehealth initiatives has been the lack of payment models 22 however, in response to the COVID-19 pandemic both federal and state governments have loosened restrictions on privacy and billing for telehealth visits in an effort to allow health care providers to continue to care for patients while reducing potential exposure to the virus.…”

Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

View full text Add to dashboard Cite

Abstract Background Relaxation of laws and regulations around privacy and billing during the COVID-19 pandemic provide expanded opportunities to use telehealth to provide patient care at a distance. Many health systems have transitioned to providing outpatient care via telehealth; however, there is an opportunity to utilize telehealth for inpatients to promote physical distancing. Objective This article evaluates the use of a rapidly implemented, secure inpatient telehealth program. Methods We assembled a multidisciplinary team to rapidly design, implement, and iteratively improve an inpatient telehealth quality improvement initiative using an existing videoconferencing system at our academic medical center. We assigned each hospital bed space a unique meeting link and updated the meeting password for each new patient. Patients and families were encouraged to use their own mobile devices to join meetings when possible. Results Within 7 weeks of go-live, we hosted 1,820 inpatient telehealth sessions (13.3 sessions per 100 bedded days). We logged 104,647 minutes of inpatient telehealth time with a median session duration of 22 minutes (range 1–1,961). There were 5,288 participant devices used with a mean of 3 devices per telehealth session (range 2–22). Clinicians found they were able to build rapport and perform a reasonable physical exam. Conclusion We successfully implemented and scaled a secure inpatient telehealth program using an existing videoconferencing system in less than 1 week. Our implementation provided an intuitive naming convention for providers and capitalized on the broad availability of smartphones and tablets. Initial comments from clinicians suggest the system was useful; however, further work is needed to streamline initial setup for patients and families as well as care coordination to support clinician communication and workflows. Numerous use cases identified suggest a role for inpatient telehealth will remain after the COVID-19 crisis underscoring the importance of lasting regulatory reform.

show abstract

Section: Background and Significancementioning

confidence: 99%

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

et al. 2020

View full text Add to dashboard Cite

show abstract

“…All cohorts included in the present review were assessed by the NOS [ 15 ]. Study quality was rated as low in 1 study [ 22 ], moderate in 3 [ 22 , 25 , 27 ], and high in 6 [ 18 – 21 , 24 , 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…Family members who are able to be more often at their child’s bedside and to remotely participate in PICU rounds tend to be more satisfied, less stressed and feel more involved in the daily care of their child [ 35 ]. Health care teams were also satisfied with the use of telemedicine, since the technology employed proved to be easy to use, contributed to improving the care provided to the patient, and reduced their level of anxiety [ 22 ]. Kleinpell et al [ 36 ], in a study of nurses’ perceptions of intensive care telemedicine, highlighted that using telemedicine, on a daily basis, improves patient care, increases productivity, and makes the nurse’s job easier, as it is performed in collaboration with other health professionals at a distance.…”

Section: Discussionmentioning

confidence: 99%

“…After data extraction, if the results could not be summarized by meta-analysis, as satisfaction, descriptive synthesis was performed to present the findings. In some studies, the satisfaction was about health professional's satisfaction [22][23][24][25]27] and in others it was about family satisfaction [24,27] and the results were in different scales. The satisfaction results were heterogeneous, which as summarized by meta-analysis, could not be taken in consideration.…”

Section: Plos Onementioning

confidence: 99%

“…Of 2703 records identified through the search strategy, 2226 had their titles and abstracts screened. Of these, 55 were selected for full-text reading, of which 10 [18][19][20][21][22][23][24][25][26][27] were included in the present study (Fig 1). There was a significant difference in disposition patterns, since telemedicine allowed better assessment of patients.…”

Section: Study Selectionmentioning

confidence: 99%

See 2 more Smart Citations

The use of telemedicine in the PICU: A systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

The use of telemedicine in ICUs has grown and is becoming increasingly recognized. However, its impact on PICUs remains unclear. This systematic review and meta-analysis aimed to evaluate whether telemedicine in the PICU has the potential to improve clinical and non-clinical outcomes. PubMed, Scopus, LILACS, and CINAHL electronic databases were searched to identify studies that assessed the impact of telemedicine on clinical outcomes, with no publication date restrictions. The reference lists of the selected articles were hand-searched for additional studies that had not been identified by the initial electronic search. Studies were included if they had a cohort design, used telemedicine, were conducted in PICUs or specialized PICUs, and were published in Portuguese, English, or Spanish. Two groups of reviewers independently screened titles and abstracts for inclusion. The same group of reviewers independently assessed the full-text articles for eligibility and extracted the following information: telecommunication method, intervention characteristics, patient characteristics, sample size, and main results. Studies were meta-analyzed using a random-effects model to estimate the pooled prevalence of PICU mortality and length of PICU stay. Risk of bias was assessed using the Newcastle-Ottawa Scale. Of 2703 studies initially identified, 2226 had their titles and abstracts screened. Of these, 53 were selected for full-text reading, of which 10 were included and analyzed. The main results of interest were length of PICU stay, number of deaths or mortality rate, and satisfaction of health professionals and family members. The results of meta-analysis show that the mortality rate reduced by 34% with an increase of the length of PICU stay in the PICUs with the use of telemedicine. Family members and health professionals were satisfied with the use of telemedicine. Telemedicine has the potential to improve PICU outcomes, such as mortality rate and family and staff satisfaction. However, it extended length of PICU stay in the studies included in this systematic review.

show abstract

The Role of Tele-Critical Care in Rescue and Resuscitation

Winterbottom¹

2021

Critical Care Nursing Clinics of North America

View full text Add to dashboard Cite

A More Rapid, Rapid Response

Abstract: FaceTime allowed the intensivist to become involved earlier and provide immediate guidance to the inpatient care teams. However, it did not clinically alter the patient course. Further study is necessary.

Cited by 10 publications

References 13 publications

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

Rapid Implementation of an Inpatient Telehealth Program during the COVID-19 Pandemic

The use of telemedicine in the PICU: A systematic review and meta-analysis

The Role of Tele-Critical Care in Rescue and Resuscitation

Contact Info

Product

Resources

About