Use of telehealth for patients referred to a retrieval service: timing, destination, mode of transport, escort level and patient care

Journal of Telemedicine and Telecare
Elizabeth KyleMatthew Barneveld

Abstract

We examined the utility of telehealth in assisting the decision-making processes of aeromedical coordinators, with particular focus on the timing, destination, mode of transport and escort level. Medical coordinators from the Northern Operations site of the Queensland emergency retrieval service were asked to complete a survey form about the changes that telehealth made to their retrieval decision-making process. Information was collected in six areas: diagnosis, severity, priority, crew, mode of transport and destination. During a 12-month period, there were 403 emergency referrals from the five participating sites. There were 136 eligible patient referrals for analysis, of which 90 did not have teleconsultations performed; the most common reasons were that the medical coordinator was too busy with other work or the new procedure was forgotten (n = 39, 43%). The remaining 46 patients had a teleconsultation during the trial and 44 data sheets were available for analysis. In 21 cases some component of the decision-making process was altered by the use of telehealth, with decisions being significantly altered in nine cases. Most alterations were for severity of patient condition, then diagnosis and priority of transfer. The use o...Continue Reading

References

Apr 26, 2002·Journal of Telemedicine and Telecare·Brian Meade, Peter Barnett
Oct 19, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Paul A HaskinsJames Mayrose
Jul 31, 2004·The Journal of Trauma·Jeffrey R SaffleStephen E Morris
Sep 9, 2008·Journal of Telemedicine and Telecare·Kate A MathewsJeremy S Furyk

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Citations

May 9, 2015·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Nikki H YangJames P Marcin
Oct 26, 2021·Emergency Medicine Australasia : EMA·Sharon Paddock, Chantelle Norman

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