Implementation of Telemedicine in Pediatric and Neonatal Transport.

Air Medical Journal
Alison CurfmanScott Saunders

Abstract

Telemedicine uses video technology to communicate visual clinical information. This study aimed to implement telemedicine in pediatric and neonatal transport, assess its value, and identify barriers. This prospective study implemented telemedicine before transport to a tertiary care children's hospital. A preimplementation survey assessed attitudes toward telemedicine and perceived barriers. During the 12-week pilot, a video connection was initiated between transport and medical control. We collected survey results measuring telemedicine usefulness and hindrance after each use. A postimplementation survey assessed opinions about when telemedicine was useful. Initially, 82% of users had no direct experience with telemedicine. Perceived utility and burden of telemedicine varied significantly by department. During the study, telemedicine was offered 65% of the time, initiated in 47% of cases, and successful in 30% of cases. The greatest barrier was connectivity. Over time, transport members and physicians found telemedicine to be significantly more useful. In 14 cases, telemedicine changed patient outcome or management. Providers who reported a change in management rated telemedicine as significantly more useful. This prospective ...Continue Reading

Citations

Feb 4, 2021·Current Problems in Pediatric and Adolescent Health Care·Jennifer L Fang, John Chuo
Feb 9, 2021·Current Problems in Pediatric and Adolescent Health Care·Dana A SchinasiMichelle Macy
Jan 26, 2021·Current Opinion in Pediatrics·Wannasiri LapcharoensapTrang Huynh
May 5, 2021·Seminars in Perinatology·Abhishek MakkarAbeer Azzuqa
Jul 6, 2021·Resuscitation Plus·Trang Kieu HuynhJeanne-Marie Guise
May 17, 2021·Seminars in Perinatology·Abeer AzzuqaKerri Machut
Oct 26, 2021·Emergency Medicine Australasia : EMA·Sharon Paddock, Chantelle Norman

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