Utilizing Telemedicine in a Novel Approach to COVID-19 Management and Patient Experience in the Emergency Department

Bains, Jaskaran; Greenwald, Peter; Mulcare, Mary R.; Leyden, David; Kim, Joshua; Shemesh, Amos; Bodnar, David; Farmer, Brenna M.; Steel, Peter; Tanouye, Robert; Kim, Ji Won; Lame, Maria; Sharma, Rahul

doi:10.1089/tmj.2020.0162

Cited by 36 publications

(31 citation statements)

References 27 publications

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“…In several centers in the USA, telemedicine carts (i.e., systems that integrate displays, cameras, microphones, speakers, and network access) were already successfully deployed into COVID-19 isolation rooms. This initiative increased provider/patient communication and attention to staff safety, improved palliative care and patient support services, lowered consumption of personal protective equipment, increased patient comfort, and reduced the psychological toll of isolation (31).…”

Section: Forward Triagementioning

confidence: 99%

Telemedicine in Heart Failure During COVID-19: A Step Into the Future

Tersalvi

Winterton

Cioffi

et al. 2020

Front. Cardiovasc. Med.

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During the Coronavirus Disease 2019 worldwide pandemic, patients with heart failure are a high-risk group with potential higher mortality if infected. Although lockdown represents a solution to prevent viral spreading, it endangers regular follow-up visits and precludes direct medical assessment in order to detect heart failure progression and optimize treatment. Furthermore, lifestyle changes during quarantine may trigger heart failure decompensations. During the pandemic, a paradoxical reduction of heart failure hospitalization rates was observed, supposedly caused by patient reluctance to visit emergency departments and hospitals. This may result in an increased patient mortality and/or in more complicated heart failure admissions in the future. In this scenario, different telemedicine strategies can be implemented to ensure continuity of care to patients with heart failure. Patients at home can be monitored through dedicated apps, telephone calls, or devices. Virtual visits and forward triage screen the patients with signs or symptoms of decompensated heart failure. In-hospital care may benefit from remote communication platforms. After discharge, patients may undergo remote follow-up or telerehabilitation to prevent early readmissions. This review provides a comprehensive appraisal of the many possible applications of telemedicine for patients with heart failure during Coronavirus disease 2019 and elucidates practical limitations and challenges regarding specific telemedicine modalities.

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Section: Forward Triagementioning

confidence: 99%

Telemedicine in Heart Failure During COVID-19: A Step Into the Future

Tersalvi

Winterton

Cioffi

et al. 2020

Front. Cardiovasc. Med.

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“…Despite Telemedicine's benefits, healthcare workers acknowledge that while some patients may report satisfaction, others may take longer to adjust to this communication method. 9 One proposed Telemedicine approach is based on Artificial Intelligence techniques, such as deep learning for text processing and genetic algorithms. 10 Another example is a cloud-based framework to reduce adverse mental health effects of COVID-19 among seafarers.…”

Section: Introductionmentioning

confidence: 99%

The Psychological Effects of Physicians’ Communication Skills on COVID-19 Patients

Al-Zyoud¹,

Oweis²,

Al-Thawabih³

et al. 2021

PPA

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Purpose The COVID-19 pandemic has affected physician–patient communication (PPC) in multiple ways. This study aims to report on the impact of physician–patient communication (PPC) skills on COVID-19 patients’ psychology in Jordan. Sample and Methods In this study, two questionnaires were designed. The first questionnaire targeted physicians, with 72 responses, and the second questionnaire targeted patients, with 248 responses. Both questionnaires contained common sections covering nine aspects of communication such as empathy, honesty, optimism, simple and deliberateness. Results This study found that the psychological effect of physicians’ positive communication skills on COVID-19 patients is significant. There were almost statistical agreement between physicians’ and patients’ questionnaire responses that the physicians’ communication skills have positively affected the patients’ psychological status; all patients’ responses confirmed this finding. Conclusion Based on this study’s findings, appropriate and continuous training will advance physicians’ communication skills in the form of exercises that could be as simple as class- or lecture-based activities, or using technology-based learning. Using a protocol or handbook to guide such communication is another essential strategy to enhance physician–patient communication (PPC). The study recommends that physicians must be aware that PPC skills required may vary depending on whether they are dealing with a pandemic or non-pandemic situation. Generally, appropriate or positive communication skills are considered one of the main factors effecting patients’ psychological responses to their diagnosis.

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“…With the COVID-19 pandemic, telemedicine capacity was rapidly implemented in ambulatory settings [1][2][3]. Emergency departments also found multiple use cases for telemedicine including patient triage and expedited care for stable patients, reduced potential provider exposure to COVID-19, decreased use of PPE, reducing patient isolation, and allowing quarantined physicians to continue practicing, among others [4][5][6]12,13].…”

Section: Inpatient Telemedicine Could Be Used To Conserve Ppementioning

confidence: 99%

The Impact of Inpatient Telemedicine on Personal Protective Equipment Savings During the COVID-19 Pandemic: Cross-sectional Study

Halabi¹,

Smith²,

Sylwestrzak³

et al. 2021

J Med Internet Res

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With the emergence of the COVID-19 pandemic and shortage of adequate personal protective equipment (PPE), hospitals implemented inpatient telemedicine measures to ensure operational readiness and a safe working environment for clinicians. The utility and sustainability of inpatient telemedicine initiatives need to be evaluated as the number of COVID-19 inpatients is expected to continue declining. In this viewpoint, we describe the use of a rapidly deployed inpatient telemedicine workflow at a large academic medical center and discuss the potential impact on PPE savings. In early 2020, videoconferencing software was installed on patient bedside iPads at two academic medical center teaching hospitals. An internal website allowed providers to initiate video calls with patients in any patient room with an activated iPad, including both COVID-19 and non–COVID-19 patients. Patients were encouraged to use telemedicine technology to connect with loved ones via native apps or videoconferencing software. We evaluated the use of telemedicine technology on patients’ bedside iPads by monitoring traffic to the internal website. Between May 2020 and March 2021, there were a total of 1240 active users of the Video Visits website (mean 112.7, SD 49.0 connection events per month). Of these, 133 (10.7%) connections were made. Patients initiated 63 (47.4%) video calls with family or friends and sent 37 (27.8%) emails with videoconference connection instructions. Providers initiated a total of 33 (24.8%) video calls with the majority of calls initiated in August (n=22, 67%). There was a low level of adoption of inpatient telemedicine capability by providers and patients. With sufficient availability of PPE, inpatient providers did not find a frequent need to use the bedside telemedicine technology, despite a high census of patients with COVID-19. Compared to providers, patients used videoconferencing capabilities more frequently in September and October 2020. We did not find savings of PPE associated with the use of inpatient telemedicine.

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Utilizing Telemedicine in a Novel Approach to COVID-19 Management and Patient Experience in the Emergency Department

Cited by 36 publications

References 27 publications

Telemedicine in Heart Failure During COVID-19: A Step Into the Future

Telemedicine in Heart Failure During COVID-19: A Step Into the Future

The Psychological Effects of Physicians’ Communication Skills on COVID-19 Patients

The Impact of Inpatient Telemedicine on Personal Protective Equipment Savings During the COVID-19 Pandemic: Cross-sectional Study

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