Developing a Newborn Resuscitation Telemedicine Program: A Comparison of Two Technologies.

Autor:	Beck JA; 1 Department of Management Engineering and Internal Consulting, Mayo Clinic , Rochester, Minnesota., Jensen JA; 1 Department of Management Engineering and Internal Consulting, Mayo Clinic , Rochester, Minnesota., Putzier RF; 2 Center for Connected Care , Mayo Clinic, Rochester, Minnesota., Stubert LA; 2 Center for Connected Care , Mayo Clinic, Rochester, Minnesota., Stuart KD; 3 Division of Media Support Services, Mayo Clinic , Rochester, Minnesota., Mohammed H; 3 Division of Media Support Services, Mayo Clinic , Rochester, Minnesota., Kreofsky BL; 2 Center for Connected Care , Mayo Clinic, Rochester, Minnesota., Boles KW; 3 Division of Media Support Services, Mayo Clinic , Rochester, Minnesota., Colby CE; 4 Division of Neonatal Medicine, Mayo Clinic , Rochester, Minnesota., Fang JL; 4 Division of Neonatal Medicine, Mayo Clinic , Rochester, Minnesota.
Jazyk:	angličtina
Zdroj:	Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2018 Jul; Vol. 24 (7), pp. 481-488. Date of Electronic Publication: 2017 Dec 12.
DOI:	10.1089/tmj.2017.0121
Abstrakt:	Background: Early work has demonstrated the feasibility and acceptance of newborn resuscitation telemedicine programs (NRTPs). The technology requirements for providing this type of emergency telemedicine service are unclear. Introduction: We hypothesized that during NRTP consults, a wired telemedicine cart would provide a more reliable and higher-quality user experience than a consumer-grade wireless tablet. Materials and Methods: In this retrospective observational study, six spoke sites used consumer-grade wireless tablets during preintervention and wired coder/decoder (CODEC)-based telemedicine carts during postintervention. Both technologies used the same videoconferencing software. After the telemedicine consult, providers completed surveys assessing connection reliability, user satisfaction, and audio and video quality using a 1-5 Likert scale. Results: Preintervention, users completed 99 consults and 95 surveys. Postintervention, users completed 73 consults and 192 surveys. Successful connection on first attempt was significantly improved with the wired cart compared with the wireless tablet (82.7% vs. 69.5%, p = 0.01), and the percentage of consults complicated by an unplanned disconnection was reduced (6.4% vs. 14.7%, p = 0.02). User satisfaction and video and audio quality ratings were significantly higher for the wired cart. Discussion: The wired telemedicine cart increased connection reliability, which is important given the critical nature and long duration of NRTP consults. Audio-video quality was also improved, allowing for better visualization of the neonate and communication with the care team. Conclusions: Consumer-grade wireless tablets did not meet the program's technical requirements. Wired telemedicine carts improved reliability, user satisfaction, and audio-video quality. Wired carts may not fully meet NRTP requirements because of cart size and limited mobility.
Databáze:	MEDLINE
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