Telemedicine Facilitation of Transfer Coordination From Emergency Departments

Annals of Emergency Medicine
Emily M HaydenKori S Zachrison

Abstract

Interhospital transfers are costly to patients and to the health care system. The use of telemedicine may enable more efficient systems by decreasing transfers or diverting transfers from crowded referral emergency departments (EDs) to alternative appropriate facilities. Our primary objective is to describe the prevalence of telemedicine for transfer coordination among US EDs, the ways in which it is used, and characteristics of EDs that use telemedicine for transfer coordination. We used the 2016 National Emergency Department Inventory-USA survey to identify telemedicine-using EDs. We then surveyed all EDs using telemedicine for transfer coordination and a sample of EDs using telemedicine for other clinical applications. We used a multivariable logistic regression model to identify characteristics independently associated with use of telemedicine for transfer coordination. Of the 5,375 EDs open in 2016, 4,507 responded to National Emergency Department Inventory-USA (84%). Only 146 EDs used telemedicine for transfer coordination; of these, 79 (54%) used telemedicine to assist with clinical care for local admission, 117 (80%) to assist with care before transfer, and 92 (63%) for arranging transfer to a different hospital. Among ...Continue Reading

Citations

Oct 19, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·George L Anesi
Feb 13, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Luis Escobar-CurbeloAlfonso Muriel
Jul 11, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Emily M HaydenUNKNOWN Society for Academic Emergency Medicine 2020 Consensus Conference

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