Testing Pediatric Emergency Telemedicine Implementation Strategies Using Quality Improvement Methods
| Autor: | Angela S. Benton, Michelle Y. Hamline, Jennifer L. Rosenthal, Hadley S. Sauers-Ford, Moina Snyder, Sharon Joo, JoAnne E Natale, Jennifer Plant |
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| Rok vydání: | 2021 |
| Předmět: |
Pediatric emergency
Telemedicine Pediatric Research Initiative Quality management 020205 medical informatics referral and consultation Psychological intervention Biomedical Engineering Health Informatics Bioengineering 02 engineering and technology Rural Health Emergency Care quality improvement Hospital Health Information Management Library and Information Studies Multidisciplinary approach Clinical Research 0202 electrical engineering electronic engineering information engineering medicine Humans patient transfers Child Retrospective Studies High rate Pediatric Emergency Service business.industry communication General Medicine Health Services medicine.disease Quality Improvement Test (assessment) health care transitions Workflow Networking and Information Technology R&D Public Health and Health Services Medical emergency Emergencies business Brief Communications Emergency Service Hospital hospitals Medical Informatics |
| Zdroj: | Telemedicine journal and e-health : the official journal of the American Telemedicine Association, vol 27, iss 4 Telemed J E Health |
| Popis: | Background: Despite the recognized benefits of telemedicine use for pediatric emergency consultations, there are barriers to the widespread uptake of this technology. Quality improvement methods can be used to rapidly test implementation strategies. Our objective was to test telemedicine implementation strategies in real-world application using quality improvement methods. Our quality improvement aim was to achieve high rates of telemedicine use for pediatric transfer consultations. Methods: A multidisciplinary multisite improvement team identified that key drivers of increasing telemedicine use included telemedicine resource awareness, streamlined telemedicine workflow, provider buy-in, and data transparency. Interventions focused on telemedicine trainings, disseminating telemedicine uptake data, telemedicine reminders, telemedicine test calls, and preparing for telemedicine use for every transfer consultation. The outcome measure was percentage of pediatric emergency transfer consultations that used telemedicine. The balancing measure was time (minutes) from the initial transfer center call to completion of the consultation. Results: Multiple plan-do-study-act cycles were associated with special cause variation, with an upward shift in mean percentage of telemedicine use from 5% to 22%. Time from initial call to consultation completion remained unchanged. Conclusion: Our study supports the use of quality improvement methods to test telemedicine implementation strategies for pediatric telemedicine emergency consultations. |
| Databáze: | OpenAIRE |
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