Emergency Care Connect: Extending Pediatric Emergency Care Expertise to General Emergency Departments Through Telemedicine

Foster, Carolyn C.; Macy, Michelle L.; Simon, Norma Jean E.; Stephen, Rebecca; Lehnig, Katherine; Bohling, Katie; Schinasi, Dana Aronson

doi:10.1016/j.acap.2020.02.028

Cited by 21 publications

(19 citation statements)

References 27 publications

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“…Further research is needed to identify which patients will benefit from telemedicine consults vs those who should be rather seen in person. Our findings agree with the published literature, 2 where increased access to care with real-time virtual consultations in pediatric emergencies services 12 and increased collaboration between patients and providers in general pediatric clinics 27 have been demonstrated. Our research targeted for firsttime chronic pediatric pain patients.…”

Section: Patient Considerationssupporting

confidence: 93%

“…The survey was further stratified on questions regarding skills and competence, interpersonal skills, and quality of care received by telemedicine. Twenty-two percent (32/146) responded, with the majority being females (90%), of average age 15 years, [11][12][13][14][15][16][17] and with the majority (81.3%) having pain primary pain conditions.…”

Section: Patient Considerationsmentioning

confidence: 99%

“…Patients accessing TH-supported health services feel more confident and empowered, with better knowledge and improved health outcomes, and experience better nurse-patient relationships. 11 Barriers to greater implementation of TH services include lack of evidence-based research on long-term outcomes and unforeseen harm or consequences, 12 potential inequity in access, and use in populations such as elderly and disabled patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Telehealth and chronic pain management from rapid adaptation to long-term implementation in pain medicine: A narrative review

Pérez

Niburski

Stoopler

et al. 2021

PR9

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Section: Patient Considerationssupporting

confidence: 93%

Section: Patient Considerationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Telehealth and chronic pain management from rapid adaptation to long-term implementation in pain medicine: A narrative review

Pérez

Niburski

Stoopler

et al. 2021

PR9

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“…In addition, telehealth in the emergency medicine setting has been leveraged to increase availability of consultant services by bringing specialists to the bedside when such face-to-face consultation is not possible. It has been used extensively to help bring the expertise of pediatric intensivists and pediatric emergency physicians to departments that otherwise do not have this expertise (4)(5)(6). It has also been used to increase the availability of psychiatry services in EDs in the United States (7).…”

Section: Introductionmentioning

confidence: 99%

The Implementation of an Emergency Medicine Telehealth System During a Pandemic

Tresenriter

Killeen

et al. 2021

The Journal of Emergency Medicine

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“…mHealth can offer not only patient-centered solutions for chronic illness management, behavioral change, or self-monitoring [13][14][15][16][17][18][19][20][21][22] but also learning opportunities for pre-and postgraduate medical education [23]. The online environment plays an important role as well in continuous education, and health professionals rely on easy-to-access and high-quality medical content to improve patient care [24][25][26][27]. Furthermore, it was shown that health professionals favor significantly well-known targeted medical resources to more general web browsing in their search for what they perceive as validated medical content [28].…”

Section: Introductionmentioning

confidence: 99%

A Mobile Medical Knowledge Dissemination Platform (HeadToToe): Mixed Methods Study

et al. 2020

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Background Finding readily accessible, high-quality medical references can be a challenging task. HeadToToe is a mobile platform designed to allow easy and quick access to sound, up-to-date, and validated medical knowledge and guidance. It provides easy access to essential clinical medical content in the form of documents, videos, clinical scores, and other formats for the day-to-day access and use by medical students and physicians during their pre- and postgraduate education. Objective The aim of this paper is to describe the architecture, user interface, and potential strengths and limitations of an innovative knowledge dissemination platform developed at the University of Geneva, Switzerland. We also report preliminary results from a user-experience survey and usage statistics over a selected period. Methods The dissemination platform consists of a smartphone app. Through an administration interface, content is managed by senior university and hospital staff. The app includes the following sections: (1) main section of medical guidance, organized by clinical field; (2) checklists for history-taking and clinical examination, organized by body systems; (3) laboratory section with frequently used lab values; and (4) favorites section. Each content item is programmed to be available for a given duration as defined by the content’s author. Automatic notifications signal the author when the content is about to expire, hence, promoting its timely updating and reducing the risk of using obsolete content. In the background, a third-party statistical collecting tool records anonymous utilization statistics. Results We launched the final version of the platform in March 2019, both at the Faculty of Medicine at the University of Geneva and at the University Hospital of Geneva in Switzerland. A total of 622 students at the university and 613 health professionals at the hospital downloaded the app. Two-thirds of users at both institutions had an iOS device. During the practical examination period (ie, May 2019) there was a significant increase in the number of active users (P=.003), user activity (P<.001), and daily usage time (P<.001) among medical students. In addition, there were 1086 clinical skills video views during this period compared to a total of 484 in the preceding months (ie, a 108% increase). On a 10-point Likert scale, students and physicians rated the app with mean scores of 8.2 (SD 1.9) for user experience, 8.1 (SD 2.0) for usefulness, and 8.5 (SD 1.8) for relevance of content. In parallel, postgraduate trainees viewed more than 6000 documents during the first 3 months after the implementation in the Division of Neurology at our institution. Conclusions HeadToToe is an educator-driven, mobile dissemination platform, which provides rapid and user-friendly access to up-to-date medical content and guidance. The platform was given high ratings for user experience, usefulness, and content quality and was used more often during the exam period. This suggests that the platform could be used as tool for exam preparation.

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Emergency Care Connect: Extending Pediatric Emergency Care Expertise to General Emergency Departments Through Telemedicine

Cited by 21 publications

References 27 publications

Telehealth and chronic pain management from rapid adaptation to long-term implementation in pain medicine: A narrative review

Telehealth and chronic pain management from rapid adaptation to long-term implementation in pain medicine: A narrative review

The Implementation of an Emergency Medicine Telehealth System During a Pandemic

A Mobile Medical Knowledge Dissemination Platform (HeadToToe): Mixed Methods Study

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