BackgroundUse of telemedicine for healthcare delivery in the emergency department can increase access to specialized care for pediatric patients without direct access to a children's hospital. Currently, telemedicine is underused in this setting.ObjectivesThis pilot research project aimed to evaluate the perceived effectiveness of a telemedicine program in delivering care to critically ill pediatric patients in the emergency department by exploring the experiences of parents/caregivers and physicians.MethodsSequential explanatory mixed methods were employed, in which quantitative methods of inquiry were followed by qualitative methods. Data were collected through a post-used survey for physicians, followed by semi-structured interviews with physicians and parents/guardians of children treated through the program. Descriptive statistics were used to analyze the survey data. Reflexive thematic analysis was used to analyze interview data.ResultsThe findings describe positive perceptions of telemedicine for emergency department pediatric care, as well as barriers and facilitators to its use. The research also discusses implications for practice and recommendations for overcoming barriers and supporting facilitators when implementing telemedicine programming.ConclusionThe findings suggest that a telemedicine program has utility and acceptance among parents/caregivers and physicians for the treatment of critically ill pediatric patients in the emergency department. Benefits recognized and valued by both parents/caregivers and physicians include rapid connection to sub-specialized care and enhanced communication between remote and local physicians. Sample size and response rate are key limitations of the study.

Background: Use of telemedicine for healthcare delivery in the emergency department has the ability to increase access to specialized care for pediatric patients without direct access to a children’s hospital. Currently telemedicine is underused in this setting. This research aimed to evaluate the perceived effectiveness of a telemedicine program in delivering care to critically ill pediatric patients in the emergency department by exploring the experiences of parents/caregivers and physicians. Methods: Sequential explanatory mixed methods were employed, in which quantitative methods of inquiry were followed by qualitative methods. Data was collected through a post-used survey for physicians that engaged with the program, followed by semi-structured interviews with physicians and parents/guardians of children treated through the program. Descriptive statistics were used to analyze the survey data and reflexive thematic analysis was used to analyze interview data. Results: The findings describe positive perceptions of telemedicine for emergency department pediatric care, as well as barriers and facilitators to its use. Among parents/caregivers themes were: Confident in the Care Environment, Forever Grateful, The Way of the Future, The Experience of Being Transferred, and Trouble Connecting. Among physicians themes were: Support and Validation, Team Effort, Providing Visual Perspective, Institutional Understanding, and Communicating Expectations. The research also discusses implications for practice and policy, with recommendations for overcoming barriers and leveraging facilitators when implementing telemedicine programming. Conclusion: The findings strongly suggest that a telemedicine program has high utility and acceptance among parents/caregivers and physicians for the treatment of critically ill pediatric patients in the emergency department. When faced with the use of the program, neither physicians nor parents/caregivers expressed concerns or hesitation about the care being delivered. Following experience with the program, the benefits were rapidly recognized and highly valued by both parents/caregivers and physicians, including rapid connection to sub-specialized care and enhanced communication between remote and local physicians. Trial Registration: Not Applicable