Patient and Family Centered (Tele)rounds: The Use of Video Conferencing to Maintain Family and Resident Involvement in Rounds

Rogers, Amanda; Lynch, Kelly; Toth, Heather; Weisgerber, Michael

doi:10.1016/j.acap.2020.05.026

Cited by 20 publications

(16 citation statements)

References 2 publications

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“…Direct observation and participation in clinical care is a critical component of medical education, yet in response to the need to minimize infection exposure and enable social distancing, many medical students and other trainees were initially excluded from the clinical setting or thrust into new modalities of care that disrupted traditional clinical supervision practices. Creative deployment of telehealth technologies such as virtual rounds [ 79 ] and proctored telehealth visits [ 80 ] enabled trainees to safely rejoin clinical conversations and participate in clinical care [ 81 ]. Similarly, where appropriate, telehealth has also been recommended and deployed to enable the continued conduct of clinical trials while minimizing risks to participants [ 82 ].…”

Section: Telehealthmentioning

confidence: 99%

The Clinical Information Systems Response to the COVID-19 Pandemic

et al. 2021

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Summary Objective: The year 2020 was predominated by the coronavirus disease 2019 (COVID-19) pandemic. The objective of this article is to review the areas in which clinical information systems (CIS) can be and have been utilized to support and enhance the response of healthcare systems to pandemics, focusing on COVID-19. Methods: PubMed/MEDLINE, Google Scholar, the tables of contents of major informatics journals, and the bibliographies of articles were searched for studies pertaining to CIS, pandemics, and COVID-19 through October 2020. The most informative and detailed studies were highlighted, while many others were referenced. Results: CIS were heavily relied upon by health systems and governmental agencies worldwide in response to COVID-19. Technology-based screening tools were developed to assist rapid case identification and appropriate triaging. Clinical care was supported by utilizing the electronic health record (EHR) to onboard frontline providers to new protocols, offer clinical decision support, and improve systems for diagnostic testing. Telehealth became the most rapidly adopted medical trend in recent history and an essential strategy for allowing safe and effective access to medical care. Artificial intelligence and machine learning algorithms were developed to enhance screening, diagnostic imaging, and predictive analytics - though evidence of improved outcomes remains limited. Geographic information systems and big data enabled real-time dashboards vital for epidemic monitoring, hospital preparedness strategies, and health policy decision making. Digital contact tracing systems were implemented to assist a labor-intensive task with the aim of curbing transmission. Large scale data sharing, effective health information exchange, and interoperability of EHRs remain challenges for the informatics community with immense clinical and academic potential. CIS must be used in combination with engaged stakeholders and operational change management in order to meaningfully improve patient outcomes. Conclusion: Managing a pandemic requires widespread, timely, and effective distribution of reliable information. In the past year, CIS and informaticists made prominent and influential contributions in the global response to the COVID-19 pandemic.

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Section: Telehealthmentioning

confidence: 99%

The Clinical Information Systems Response to the COVID-19 Pandemic

et al. 2021

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“…The long-term impact of decreased clinical volume 2 and telemedicine 4,5 in the absence of in-person visits on the clinical competence of pediatric trainees remains unclear. A reduction in clinical experiences may be further pronounced for residents whose experiences were modified because of illness, diversion to care for adults, or to accommodate highrisk conditions.…”

Section: Figurementioning

confidence: 99%

Early Impact of the COVID-19 Pandemic on Pediatric Resident Workforce

et al. 2021

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“…In addition, as Rogers et al describe, the ability to conference in family members who are not available during inpatient rounds may serve as a key strategy to keep families at the center of familycentered rounds. 11 COVID-19 presented unprecedented challenges, requiring educational innovations to ensure trainees continue to learn to provide high-quality, evidence-based care, advocate for patients and populations, and maintain wellness. We believe the papers featured in this issue highlight innovative educational responses to the COVID-19 pandemic and serve as a foundation for shaping future medical education.…”

Section: T a G G E D H 2 Students As Agents Of Changet A G G E D E N Dmentioning

confidence: 99%