A statewide teleradiology system reduces radiation exposure and charges in transferred trauma patients

Watson, Justin J.; Moren, Alexis M.; Diggs, Brian S.; Houser, Ben; Eastes, Lynn; Brand, Dawn; Bilyeu, Pamela; Schreiber, Martin A.; Király, László

doi:10.1016/j.amjsurg.2016.01.010

Cited by 19 publications

(14 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Telemedicine may have the potential to safely ease ED overcrowding, reduce ED ambulance transports, improve ED throughput by integrating specialty services, and decrease the cost of medical care [8,[11][12][13][14][15][16]. Rademacher and colleagues reported that using telemedicine for screening patients in the ED significantly decreased the number of patients left without being seen [17].…”

Section: Introductionmentioning

confidence: 99%

“…Much of the current knowledge of telemedicine systems focuses on bringing more specialty care to the ED or the use of telemedicine in small rural hospitals [ 6 , 13 , 20 - 22 ]. Limited research exists on patients' perceptions, economic effects, and process outcome of patients using telemedicine for low acuity care in lieu of an ED visit [ 7 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patients’ Perception of Telemedicine in a Large Urban Inner-City Emergency Department: A Cross-Sectional Survey

Sechrist

Dong

Lee

et al. 2020

Cureus

View full text Add to dashboard Cite

Introduction Telemedicine has the potential to ease emergency department (ED) overcrowding, improve ED throughput, and decrease the cost of medical care. Much of the current knowledge of telemedicine systems focuses on bringing more specialty care to the ED or improving access in rural areas. Limited research exists on patients' perception of telemedicine in an urban ED. Methods A survey exploring perceptions of telemedicine encounters was distributed to both providers and patients following mirrored encounters between October 2015 and August 2016. Chi-square analysis was conducted to identify associations between factors and openness to telemedicine from the patients' perspective. Results A total of 174 patients were included in the analysis. Factors associated with patient willingness to try telemedicine included: having access to a tablet with internet (p=0.0023), having access to a tablet with camera (p=0.0025), having downloaded apps in the past (p=0.0028), having used an app in the past (p<0.0001), and had frequent video chat in the past (p=0.0142). Conclusion With widespread access to smartphones with internet connectivity and pressing demands for healthcare services, telemedicine may provide a potential solution to low acuity medical care needs.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients’ Perception of Telemedicine in a Large Urban Inner-City Emergency Department: A Cross-Sectional Survey

Sechrist

Dong

Lee

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Within the diagnostic imaging landscape, rapid and comprehensive sharing of imaging data has demonstrated multiple benefits at the patient, clinician, and health care system levels. Patient experience and quality of care is improved by reducing the number of unnecessary tests and radiation exposure [ 2 - 5 ] and by facilitating timely access to specialist consultation and treatment [ 4 ]. At the clinician level, timely diagnosis and treatment improves clinical and administrative workflows [ 2 , 4 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Utility and Perceived Value of a Provincial Digital Diagnostic Imaging Repository: Multimethod Study

et al. 2020

View full text Add to dashboard Cite

Background Timely and comprehensive diagnostic image sharing across institutional and regional boundaries can produce multiple benefits while supporting integrated models of care. In Ontario, Canada, the Diagnostic Imaging Common Service (DICS) was created as a centralized imaging repository to enable the sharing and viewing of diagnostic images and associated reports across hospital-based and community-based clinicians throughout the province. Objective The aims of this study were as follows: (1) to explore real-world utilization and perceived clinical value of the DICS following the provision of system-wide access and (2) to identify strategies to optimize the technology platform functionality and encourage adoption. Methods This multimethod study included semistructured interviews with physicians and administrative stakeholders and descriptive analysis of the current DICS usage data. Results In this study, 41 participants were interviewed, that is, 34 physicians and 7 administrative stakeholders. The following 4 key themes emerged: (1) utilization of the DICS depended on the awareness of the technology and the preferred channels for accessing images, which varied widely, (2) clinical responsibilities and available institutional resources were the drivers of utilization (or lack thereof), (3) centralized image repositories were perceived to offer value at the patient, clinician, and health care system levels, and (4) the enabling factors to realize value included aspects of technology infrastructure (ie, available functionality) alongside policy supports. High-volume DICS usage was not evenly distributed throughout the province. Conclusions Suboptimal adoption of the DICS was driven by poor awareness and variations in the clinical workflow. Alignment with physician workflow, policy supports, and investment in key technological features and infrastructure would improve functionality and data comprehensiveness, thereby optimizing health system performance, patient and provider experience, population health, and health care costs.

show abstract

“…It allows to improve the work efficiency and to overcome the lack of staff and expertise [ 8 , 10 ]. The clinical and economic benefits of teleradiology are well proven [ 2 , 5 , 13 , 15 , 16 ]. So, does any evolution for teleradiology exist?…”

Section: Introductionmentioning

confidence: 99%

Telemedicine-based system for quality management and peer review in radiology

Morozov¹,

Guseva²,

Ледихова³

et al. 2018

Insights Imaging

View full text Add to dashboard Cite

ObjectivesQuality assurance is the key component of modern radiology. A telemedicine-based quality assurance system helps to overcome the “scoring” approach and makes the quality control more accessible and objective.MethodsA concept for quality assurance in radiology is developed. Its realization is a set of strategies, actions, and tools. The latter is based on telemedicine-based peer review of 23,199 computed tomography (CT) and magnetic resonance imaging (MRI) images.ResultsThe conception of the system for quality management in radiology represents a chain of actions: “discrepancies evaluation – routine support – quality improvement activity – discrepancies evaluation”. It is realized by an audit methodology, telemedicine, elearning, and other technologies. After a year of systemic telemedicine-based peer reviews, the authors have estimated that clinically significant discrepancies were detected in 6% of all cases, while clinically insignificant ones were found in 19% of cases. Most often, problems appear in musculoskeletal records; 80% of the examinations have diagnostic or technical imperfections. The presence of routine telemedicine support and personalized elearning allowed improving the diagnostics quality. The level of discrepancies has decreased significantly (p < 0.05).ConclusionThe telemedicine-based peer review system allows improving radiology departments’ network effectiveness.Main Messages• “Scoring” approach to radiologists’ performance assessment must be changed.• Telemedicine peer review and personalized elearning significantly decrease the number of discrepancies.• Teleradiology allows linking all primary-level hospitals to a common peer review network.

show abstract

A statewide teleradiology system reduces radiation exposure and charges in transferred trauma patients

Cited by 19 publications

References 7 publications

Patients’ Perception of Telemedicine in a Large Urban Inner-City Emergency Department: A Cross-Sectional Survey

Patients’ Perception of Telemedicine in a Large Urban Inner-City Emergency Department: A Cross-Sectional Survey

Utility and Perceived Value of a Provincial Digital Diagnostic Imaging Repository: Multimethod Study

Telemedicine-based system for quality management and peer review in radiology

Contact Info

Product

Resources

About