AI Article Synopsis
- The study assessed the feasibility of using synchronous telemedicine during the transport of critically ill children by a pediatric transport team from 2019 to 2020.
- In 118 eligible transports, telemedicine was considered for only 19% of cases, with a connection attempt made in 11 instances and a median connection time of 2.9 minutes.
- Major barriers included physician workload, connectivity issues, and a lack of perceived benefits, resulting in low utilization and only moderate interest from the transport team for future use.
Article Abstract
Objective: The use of telemedicine has increased and may enhance the care of children during medical transport. We aimed to evaluate the feasibility of synchronous telemedicine connectivity before interfacility transport of critically ill children by a pediatric transport team.
Methods: We performed a prospective, observational feasibility study of the introduction of synchronous telemedicine into an established pediatric transport team from 2019 to 2020. The outcomes examined included connectivity, physician workload, transport team satisfaction, and patient care outcomes.
Results: Among 118 eligible transports, telemedicine was considered in 23 transports (19%), including 11 transports in which an attempt to connect was sought and 12 in which telemedicine activation was offered but not attempted. The median connection time was 2.9 minutes (interquartile range, 1.7-4.4 minutes), and clinical care was altered in 1 case. Connection failed in 2 cases (18.2%). In 50% of cases, concurrent medical control physician workload prevented activation. There were no perceived benefits in 41.7% of cases. Team members indicated the desire for future telemedicine use in only 54.6% of cases.
Conclusions: We found low utilization of synchronous telemedicine in interfacility pediatric transport. The identified barriers included reliable connectivity, physician workload, and low perceived benefit. Lessons learned and future research suggestions are presented to mitigate these barriers.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.amj.2022.03.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Creation of a Multimodal Telemedicine Curriculum for Preclinical Medical Students.
MedEdPORTAL
January 2025
Associate Professor, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons.
Introduction: In 2020, the AAMC created telemedicine competencies to guide curriculum and assessment development. Most available curricula are designed for clinical medical students or graduate trainees, and few offer opportunities for individualized, timely feedback and participation in pediatric simulated encounters.
Methods: We designed a hybrid curriculum to provide preclinical medical students with the knowledge and skills necessary to perform telemedicine encounters.
e-Health Interventions for Promoting Physical Activity in Aging Adults: A Scoping Review.
Telemed J E Health
January 2025
Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
The use of e-health interventions to promote physical activity (PA) among older adults has significantly increased in recent years. This review aims to comprehensively summarize the various e-health modalities and strategies used to encourage PA in aging adults. A systematic search of Medline, Embase, CINAHL, AMED, and PubMed databases was conducted to identify studies on e-health interventions targeting PA promotion in individuals aged 50 and older, published between 2012 and 2023.
View Article and Find Full Text PDFComparing Synchronous and Asynchronous Remotely Delivered Lifestyle Interventions: Protocol for a Randomized Noninferiority Trial.
JMIR Res Protoc
December 2024
Department of Allied Health Sciences, University of Connecticut, Storrs, CT, United States.
Background: Remotely delivered lifestyle interventions have emerged to increase the reach and accessibility of traditional interventions that involve numerous in-person visits. Remote interventions can be delivered synchronously via videoconference software or phone or asynchronously via online platforms. Asynchronously delivered interventions are convenient and flexible in that they allow people to participate at any time and as such, they may be more sustainable.
View Article and Find Full Text PDFSpecialists' learning from facilitating group peer telementoring: a qualitative study.
BMC Med Educ
December 2024
Department of Communication Studies, Baruch College, City University of New York, New York City, NY, USA.
Background: Group peer telementoring supports interprofessional learning through multi-directional and synchronous engagement where experienced and knowledgeable individuals exchange guidance and support with differently experienced and knowledgeable individuals. A leading example of group peer telementoring among medical specialists and medical generalists is Project Extension for Community Healthcare Outcomes (Project ECHO), a rapidly spreading program with demonstrated learning outcomes among community-based medical generalists. Yet the multi-directional exchanges that characterize group peer telementoring interactions suggest that specialists facilitating sessions may also learn from the group experiences.
View Article and Find Full Text PDFPerceived Experiences and Needs of Digital Resources Among Postpartum Women in the United Arab Emirates: Qualitative Focus Group Study.
J Med Internet Res
December 2024
Faculty of Health, Medicine, and Life Sciences, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.
Background: The postpartum period is a critical phase in a woman's life, marked by various physical, psychological, and social challenges. In light of the rapid proliferation and uptake of digital technologies, particularly in the United Arab Emirates (UAE), mothers increasingly seek informational and emotional support from digital resources. No previous study has thoroughly explored the usage of various digital resources beyond telehealth services in the UAE.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!