Implementation of a Pediatric Emergency Telemedicine Program
Implementation of a Pediatric Emergency Telemedicine Program
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DOI：
10.1097/pec.0000000000002044
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发表时间：
2020-02-01
影响因子：
1.4
通讯作者：
Platt, Shari
中科院分区：
文献类型：
--
作者：
Kim, Ji Won;Friedman, Jonathan;Platt, Shari
目的：我们的目标是描述在一个大型城市学术医疗中心推出儿科急救远程医疗项目后的经验。方法：我们在一个城市学术医疗中心推出了3个独特的儿科急救远程医疗项目：直接面向消费者的儿科虚拟紧急护理、儿科急诊科远程医疗随访和远程医疗医学筛查。结果：我们评估了84名通过直接面向消费者的儿科虚拟紧急护理的患者，最常见的主诉与发热、皮肤病或呼吸系统有关；我们将12%的患者转诊至PED，20%的患者需要住院治疗。我们通过PED远程医疗随访评估了38名患者；我们将19%的患者转回PED，43%的患者需要住院。远程医疗相遇的平均持续时间为10分钟。我们使用远程医疗医疗筛查检查了PED中的3809名患者。结论：我们描述了在一个大型城市学术医疗中心实施的创新和全面的新的儿科急救远程医疗计划。我们的初步发现表明，使用远程医疗服务的患者就诊时间短、抗生素管理和PED转诊和随后入院的比率较低。随着我们项目的扩大，我们计划进一步研究儿科紧急远程医疗对儿童护理的影响。
Objectives: Our goal was to describe the experiences after the launch of a pediatric emergency telemedicine program at a large, urban, academic medical center.Methods: We launched 3 unique pediatric emergency telemedicine programs at an urban, academic medical center: direct-to-consumer pediatric virtual urgent care, pediatric emergency department (PED) telemedicine follow-up, and telemedicine medical screening examination in the PED.Results: We evaluated 84 patients via direct-to-consumer pediatric virtual urgent care with the most common chief complaint related to fever, dermatologic, or respiratory systems; we referred 12% to the PED, and 20% of those required hospital admission. We evaluated 38 patients via PED telemedicine follow-up; we referred 19% back to the PED, and 43% of those required hospital admission. Median duration for a telemedicine encounter was 10 minutes. We screened 3809 patients in the PED using telemedicine medical screening examination.Conclusions: We offer a description of an innovative and comprehensive new pediatric emergency telemedicine program implemented at a large, urban, academic medical center. Our initial findings demonstrate short visit times, antibiotic stewardship, and low rates of PED referral and subsequent admission for patients who use a telemedicine service. We plan to further examine the impact of pediatric emergency telemedicine on the care of children as our program expands.