Telehealth for Wound Management During the COVID-19 Pandemic
Telehealth for Wound Management During the COVID-19 Pandemic
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COVID-19 大流行期间用于伤口管理的远程医疗
DOI：
10.1097/won.0000000000000692
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
C. Kennedy
中科院分区：
文献类型：
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作者：
C. Ratliff;R. Shifflett;A. Howell;C. Kennedy
背景技术背景：在2019冠状病毒病大流行之前，一家学术医疗中心的心血管外科服务进行了一项质量改进项目，以减少两家康复机构通过视频通话进行远程医疗的再入院人数。在COVID-19大流行期间，这一举措变得非常重要，因为它帮助CV服务更好地导航并更有效地满足与患者护理限制相关的患者护理需求。CV服务必须迅速评估和实施措施，以降低冠状病毒的传播率，其中包括调整诊所工作流程，以遵守州和联邦的建议。为了尽量减少对临床服务和相关收入的中断，实施了从门诊到远程保健的快速过渡。案例：描述了两个病例报告，其中患者的伤口采用2种不同的远程医疗平台进行管理。Doxy.me平台允许提供者通过电子邮件或文本发送到他们的个人候诊室的链接，以便患者加入视频通话。第二个平台是Cisco Jabber平台，可直接连接到专业护理或康复机构的护理单元。结论：在COVID-19大流行期间，医疗保健系统不得不调整他们使用远程医疗平台对患者进行分诊、评估和护理的方式，这些平台不依赖于亲自到诊所就诊。有多种远程保健平台需要仔细规划和实施治疗。每个医疗保健机构都需要选择在其护理环境中发挥最佳作用的一个或多个机构。
BACKGROUND: Prior to the COVID-19 pandemic, the Cardiovascular Surgery (CV) service of an academic medical center conducted a quality improvement project to decrease readmissions to the hospital from 2 rehabilitation facilities using telehealth via video calling. This initiative became of great importance with the COVID-19 pandemic because it helped the CV service better navigate and more efficiently meet the patient care needs associated with patient care restrictions. The CV service had to quickly evaluate and implement measures to reduce the rate of transmission of the coronavirus, which included adapting the clinic workflow to comply with state and federal recommendations. To minimize the interruption of clinical services and the associated revenue, a rapid transition from outpatient clinic visits to telehealth visits was implemented. CASES: Two cases reports of patients with wounds managed with 2 different telehealth platforms are described. Doxy.me platform allows the provider to e-mail or text a link to their personal waiting room for patients to join the video call. The second platform is Cisco Jabber platform to connect directly to the nursing unit at a skilled nursing or rehabilitation facility. CONCLUSION: Health care systems have had to adjust the manner in which they triage, evaluate, and care for patients using telehealth platforms that do not rely on in-person clinic visits during the COVID-19 pandemic. There are multiple telehealth platforms that require careful planning and treatment implementation. Each health care agency needs to choose the one or ones that function the best in their care setting.