A Literature Review of Transmission Effectiveness and Electromagnetic Compatibility in Home Telemedicine Environments to Evaluate Safety and Security

Carranza, Noemí; Ramos, Victoria; Lizana, Francisca García; García, J.; Pozo, Alejando del; Monteagudo, José Luís

doi:10.1089/tmj.2010.0036

Cited by 12 publications

(12 citation statements)

References 41 publications

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“…The limited number of reported studies addressing safety issues in Telehealth [18,19], and more specifically the impact of carers on its successful implementation [13] restrict discussion about how the results from this study relate to previous findings. However, the results do work towards addressing questions in the literature about the role that carers play in the safe implementation of home Telehealth including inaccurate reading rates from caregiver error and delayed or missing information [18].…”

Section: Discussionmentioning

confidence: 98%

Factors Affecting Provision of Successful Monitoring in Home Telehealth

Wade¹,

Shaw²,

Cartwright³

2012

Gerontology

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Aim: To investigate acceptance and usage issues in relation to Telehealth products as used by frail older clients of the Transition Care Program and their carers. Method: The study design was a quasi-randomised controlled clinical trial. A stratified random sample of participants was allocated to one of five groups using a random number table. Study participants who were already in possession of a pendant alarm provided by the study service provider at study commencement, or were assessed as needing a pendant alarm, were allocated to the first number out of 1 (control group), 4 or 5 (home Telehealth monitoring with a pedant alarm up to 12 or 24 weeks) on the random number table list. If they were in possession of a pendant alarm that was not from the study service provider they were automatically allocated to the control group. If they were assessed as not needing a pendant alarm they were allocated to the first number on the list out of 2 or 3 (home Telehealth monitoring up to 12 or 24 weeks). In all instances, when a participant was allocated to the first applicable number on the list, that number was crossed off the list. Results: A total of 43 participants who commenced the study used Teleheath equipment. There was a 13% Telehealth reading failure rate. There was no significant difference between clients with and clients without carers for the reading failure rate. This non-significant difference was consistent across all of the identified reasons for why readings failed including staff not following up, participant non-compliance (with and without carer), equipment failure, participants not returning a call from the staff investigating non-reading and user error. Conclusion: If the health of the client requires high reading rate reliability, the fact that the client has a carer to assist them cannot be assumed to increase the safe usage of the Telehealth equipment for reading rate reliability. As such staff should ensure that they are diligent in monitoring in-home Telehealth regardless of the presence or absence of a carer.

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Section: Discussionmentioning

confidence: 98%

Factors Affecting Provision of Successful Monitoring in Home Telehealth

Wade¹,

Shaw²,

Cartwright³

2012

Gerontology

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“…Some older devices incur transmission errors because of electromagnetic interference from other devices. When erroneous results are received by the telehealth care team, an assessment of transmission errors is warranted …”

Section: Process Of Carementioning

confidence: 99%

“…When erroneous results are received by the telehealth care team, an assessment of transmission errors is warranted. 30 Regardless of the device used, establishing adequate telephone or Internet access with sufficient signal strength should be discussed with the patient to ensure a clear communication channel. Moreover, the patient's monitoring device, technical skills, and preferences should be thoroughly assessed and continuously monitored.…”

Section: Technology Requirements For Follow-up Evaluation and Medicatmentioning

confidence: 99%

Providing Comprehensive Medication Management in Telehealth

et al. 2018

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The goal of this white paper is to provide direction for clinical pharmacists providing telehealth. Telehealth care is rapidly emerging to improve patient access to health care and optimize patient health outcomes. With the increasing ability to access electronic health record portals, as many as 75 million telehealth encounters are expected in North America annually. Although electronic "point of access" undoubtedly increases the use of medical and pharmacy services, the real value of telehealth lies in improved access to patients in remote areas lacking adequate medical and pharmacy services and to high-risk patients requiring frequent monitoring. This document is intended to serve as a guide for those interested in or already using telehealth to provide direct patient care. Specifically, it focuses on general concepts of telehealth and demonstrates how the delivery of comprehensive medication management (CMM) by telehealth aligns with the Standards of Practice for Clinical Pharmacists set forth by the American College of Clinical Pharmacy. Although clinical pharmacists must be appropriately credentialed and privileged to provide CMM, their process of care must also be adapted to suit the remote patient. Patient assessment, evaluation of medication therapy, development and implementation of a plan of care, follow-up, monitoring, and documentation of all processes of care are influenced by the technology available, the collaborations established, and the applicable regulations and requirements for telehealth practice.

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“…Nevertheless, this is not the only challenge that developed countries face regarding healthcare services. There is an increasing demand for outpatient care accessibility, maintaining and restoring health, as well as maximizing the independence of patients [1], [2].…”

Section: Introductionmentioning

confidence: 99%

“…AAL is used in a wide sense and encompasses the use of audio, video and other telecommunication technologies to evaluate patient status at a distance [5], [6]. Remote healthcare monitoring systems could aid in reducing costs and alleviating the shortage of healthcare personnel [1].…”

Section: Introductionmentioning

confidence: 99%