The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety

Khoong, Elaine C.; Sharma, Anjana E.; Gupta, Kiran; Adler‐Milstein, Julia; Sarkar, Urmimala

doi:10.1007/s11606-021-07329-9

Cited by 28 publications

(16 citation statements)

References 18 publications

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“…Telemedicine has expanded in recent years as access and need have increased, and evidence for comfort and efficacy have improved. [1][2][3][4][5][6][7][8][9][10] Although data privacy in telemedicine has been an anticipated concern, communication privacy in telemedicine is not well-studied. However, patients are now attending their appointments from grocery stores, dog parks, and coffee houses (Potkin in submission).…”

Section: Introductionmentioning

confidence: 99%

Ensuring privacy in telemedicine: Ethical and clinical challenges

et al. 2022

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Data privacy in telemedicine has been extensively considered and reviewed in the literature, such as explorations of consent, who can access information, and the security of electronic systems. However, privacy breaches are also a potential concern in the physical setting and surroundings of the patient. Here we review clinical situations in which there is unanticipated loss of privacy, as well as potential physical and psychological safety concerns for the patient and others when privacy is limited. We identify ethical concerns and explore the challenges of supporting full true autonomous decision-making in this situation. We close with preliminary recommendations at the patient, clinician, and systems levels to help ensure privacy is maintained.

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Section: Introductionmentioning

confidence: 99%

Ensuring privacy in telemedicine: Ethical and clinical challenges

et al. 2022

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“…PHCPs also highlighted concerns that remote assessments could not provide the same level of detail as face-to-face assessments, which may lead to misdiagnosis. Though more data specifically on patient safety related to the use of telemedicine in perinatal care is needed, concerns over patient safety in relation to telemedicine have already been raised in other areas of healthcare during COVID-19 [32]. In the present study, PHCPs also identified internet and mobile data charges as a significant barrier to many young parents' ability to engage with telemedicine.…”

Section: Discussionmentioning

confidence: 68%

Challenges and opportunities for perinatal health services in the COVID-19 pandemic: a qualitative study with perinatal healthcare professionals

Moltrecht

Cassan

Rapa

et al. 2022

BMC Health Serv Res

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Background Perinatal healthcare professionals (PHCPs) provide essential support to all parents in the perinatal period, including young parents aged 16–24, who are at an increased risk of morbidity and mortality. Little is known about the impact of COVID-19 restrictions on the provision of perinatal services, and on perinatal healthcare professionals, caring for young parents in the UK. Methods A UK based qualitative study using semi-structured interviews with perinatal healthcare professionals (n = 17). Data were analysed using thematic analysis. Results Two themes were identified describing perinatal healthcare professionals’ perceptions of providing care to young parents during the pandemic. Perinatal healthcare professionals perceived that young parents’ needs were amplified by the pandemic and that pandemic-related changes to the service, such as the use of telemedicine to replace face-to-face interactions, did not manage to successfully mitigate the increased feelings of anxiety and isolation experienced by young parents. Concerns were raised by perinatal healthcare professionals that these changes reduced young parent’s access to vital support for themselves and their child and may contribute to exacerbating pre-existing inequalities. Conclusions This study provides insight into the impact of the COVID-19 pandemic on the provision of perinatal care to young parents. Perinatal mental health professionals felt these negative impacts could be overcome by using a blended approach of technology and face-to-face interactions allowing regular contact with young parents and facilitating the exchange of vital information, while maintaining access to opportunities for social interactions with other parents. Findings from this study could be used to future-proof services against further COVID-19 restrictions.

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“…The misdiagnosis is issued by only 26.3% of the selected studies. Given the increase in teleconsultation, the lack of interest in this field deserves a specific mention [ 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review

Ferorelli

Moretti

Benevento

et al. 2022

IJERPH

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The use of technologies in medicine has great potential to reduce the costs of health care services by making appropriate decisions that provide timely patient care. The evolution of telemedicine poses a series of clinical and medicolegal considerations. However, only a few articles have dealt with telemedicine and orthopedics. This review assesses the ethical and medicolegal issues related to tele-orthopedics. A systematic review was performed including papers published between 2017 and 2021 focusing on the main medicolegal and clinical-governance aspects of tele-orthopedics. Most of the articles were published during the COVID-19 pandemic, confirming the impetus that the pandemic has also given to the spread of telemedicine in the orthopedic field. The areas of interest dealt with in the scientific evidence, almost exclusively produced in the USA, Europe, the UK, and Canada, are quality, patient satisfaction, and safety. The impact of telemedicine in orthopedics has not yet been fully evaluated and studied in terms of the potential medicolegal concerns. Most of the authors performed qualitative studies with poor consistency. Authorizations and accreditations, protection of patient confidentiality, and professional responsibility are issues that will certainly soon emerge.

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The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety

Cited by 28 publications

References 18 publications

Ensuring privacy in telemedicine: Ethical and clinical challenges

Ensuring privacy in telemedicine: Ethical and clinical challenges

Challenges and opportunities for perinatal health services in the COVID-19 pandemic: a qualitative study with perinatal healthcare professionals

Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review

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