Telehealth Solutions for In-hospital Communication with Patients Under Isolation During COVID-19

Fang, Jennifer L.; Liu, Yiju T.; Lee, Ernest Y.; Yadav, Kabir

doi:10.5811/westjem.2020.5.48165

Cited by 45 publications

(61 citation statements)

References 27 publications

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“… 13 Guidance exists for clinicians regarding the implementation and use of video meetings to speak with patients and families; however, it is limited due to small sample size and lack of previous widespread use of video visits. 8 , 9 There are barriers to video family meetings, as some populations do not have access or cannot use video devices such as the elderly or people who cannot afford them. 7 , 11 This should be less of a concern for patients included in this study, however, as all patient families had access to extra assistance through case management to organize and explain how to use the video meetings.…”

Section: Discussionmentioning

confidence: 99%

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Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic

Piscitello

Fukushima

Saulitis

et al. 2020

Am J Hosp Palliat Care

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Purpose: Visitor restrictions during the COVID-19 pandemic limit in-person family meetings for hospitalized patients. We aimed to evaluate the quantity of family meetings by telephone, video and in-person during the COVID-19 pandemic by manual chart review. Secondary outcomes included rate of change in patient goals of care between video and in-person meetings, the timing of family meetings, and variability in meetings by race and ethnicity. Methods: A retrospective cohort study evaluated patients admitted to the intensive care unit at an urban academic hospital between March and June 2020. Patients lacking decision-making capacity and receiving a referral for a video meeting were included in this study. Results: Most patients meeting inclusion criteria (N = 61/481, 13%) had COVID-19 pneumonia (n = 57/61, 93%). A total of 650 documented family meetings occurred. Few occurred in-person (n = 70/650, 11%) or discussed goals of care (n = 233/650, 36%). For meetings discussing goals of care, changes in patient goals of care occurred more often for in-person meetings rather than by video (36% vs. 11%, p = 0.0006). The average time to the first goals of care family meeting was 11.4 days from admission. More documented telephone meetings per admission were observed for White (10.5, SD 9.5) and Black/African-American (7.1, SD 6.6) patients compared to Hispanic or Latino patients (4.9, SD 4.9) (p = 0.02). Conclusions: During this period of strict visitor restrictions, few family meetings occurred in-person. Statistically significant fewer changes in patient goals of care occurred following video meetings compared to in-person meetings, providing support limiting in-person meetings may affect patient care.

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Section: Discussionmentioning

confidence: 99%

“…7 Although literature exists evaluating implementation and use of video meetings for patients and families, little is known about the use and frequency of video meetings to help with decision making for adult inpatients lacking decision-making capacity when compared to in-person meetings. 8 - 11 …”

Section: Introductionmentioning

confidence: 99%

Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic

Piscitello

Fukushima

Saulitis

et al. 2020

Am J Hosp Palliat Care

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“…The Coronavirus Disease 2019 (COVID-19) pandemic has created a rapid and changing health care landscape that has impacted communication between providers, patients, and families. New challenges created by the pandemic include communicating with patients while utilizing personal protective equipment and establishing new ways for patient and family to connect in the physical absence of families at the bedside [ 1 , 2 ]. While the pandemic has been a catalyst for widespread telehealth use to facilitate communication, technology itself can be a barrier in establishing human connection between providers, patients, and family members especially when discussing sensitive topics such as COVID-19 diagnosis, treatment options, limitations to healthcare resources, and decision-making about end-of-life care [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Opportunities to improve COVID-19 provider communication resources: A systematic review

Wittenberg

Goldsmith

Chen

et al. 2021

Patient Education and Counseling

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“…However, many patients are too elderly or too unwell to interact independently with a device and there is a need for a healthcare worker to facilitate communication. Another factor to consider is the cybersecurity associated with a hospital domain, meaning that popular commercial solutions such as FaceTime, House Party, or Zoom may not be available on the hospital devices [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

The Benefits and Risks of the Provision of a Hospital-Wide High-Definition Video Conferencing Virtual Visiting Service for Patients and Their Relatives

Dhahri¹,

Thabrew²,

Ladva³

et al. 2021

Cureus

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Background Since the start of the coronavirus disease 2019 (COVID-19) pandemic, virtual visiting (VV) has become important because of visiting restrictions in hospitals. This project aimed to determine the impact of VV on staff and patients’ loved ones (visitors). Methodology VV is defined as high-resolution video communication between admitted COVID-19 patients and their loved ones in the presence of a staff member using a healthcare platform. VV was introduced in a 419-bedded hospital in the UK in April 2020. Qualitative data on the VV experience were collected from relatives and staff via an open feedback email address and reflective practice. Data were entered and analyzed in person by two independent assessors. Grounded theory methodology and thematic analysis were used to draw conclusions. Results Between April 16, 2020 and November 30, 2020, 1,009 visits were delivered. There were 138 feedback responses; 108 (78.3%) from relatives and 30 (21.7%) from staff. The amalgamation of data was resolved into five themes: appreciative factors (129, 93.5%), organizational skills (44, 31.9%), palliative care (38, 27.5%), staff communication (14, 10.1%), and VV process issues (11, 7.9%). A total of 131 (94.9%) responses had positive comments (111 from relatives, 20 from staff); negative comments were greater in the staff cohort (23%) than the relative group (4%). Trends included sub-themes in overwhelming emotions, emotional strain for staff members, and difficult situations. Conclusions VV in hospitals is a new and valuable way to connect patients with loved ones with mostly positive consequences. VV also has risks to mental health and well-being, particularly for healthcare workers facilitating the call.

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Telehealth Solutions for In-hospital Communication with Patients Under Isolation During COVID-19

Cited by 45 publications

References 27 publications

Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic

Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic

Opportunities to improve COVID-19 provider communication resources: A systematic review

The Benefits and Risks of the Provision of a Hospital-Wide High-Definition Video Conferencing Virtual Visiting Service for Patients and Their Relatives

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