Virtual care in the pediatric emergency department: a new way of doing business?
Virtual care in the pediatric emergency department: a new way of doing business?
复制标题
小儿急诊科的虚拟护理：一种新的业务方式？
DOI：
10.1007/s43678-020-00048-w
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Tse S
中科院分区：
文献类型：
--
作者：
Reid S;Bhatt M;Zemek R;Tse S
了解加拿大首个虚拟儿科急诊室（V-PED）的可行性、使用率和满意度。我们于2020年5月至7月在一家三级儿科医院进行了一项前瞻性队列研究，研究了虚拟护理作为现场急诊辅助的可行性和影响。来自安大略省和魁北克省寻求V-PED治疗的儿童（< 18岁）被纳入研究。在医院的电子病历中使用了一个安全、加密的视频平台。护理人员自行决定V-PED的适当性，使用标准化的在线分诊问卷来要求他们的预约。V-PED直接从患者的图表中启动，家属通过超链接加入门户网站。结果测量包括V-PED就诊次数、住院率和护理人员满意度，采用10项自愿访问后在线调查。共有1036例V-PED就诊，其中176例（17.0%）被转介进行进一步的面对面ED评估，8例（0.8%）需要住院。在107份完成的患者体验调查（10%的回应）中，大多数受访者（69%）表示，如果没有V-PED，他们“很可能”或“肯定”会亲自到急诊室就诊。87%的受访者认为整体满意度为优秀（9分或10分）。我们的新型V-PED是可行的，具有较高的照顾者满意度，并可以减少亲自就诊的负担。未来的工作必须确保急诊虚拟护理的安全性，并研究如何提高能力并将V-PED整合到传统急诊医学中。本文的在线版本（10.1007/s43678-020-00048-w）包含补充内容，仅供授权用户使用。
To understand the feasibility, utilization rate, and satisfaction of the first Virtual Pediatric ED (V-PED) in Canada. We conducted a prospective cohort study examining the feasibility and impact of virtual care as an adjunct to in-person emergency care at a tertiary pediatric hospital from May to July 2020. Children (< 18 years) from Ontario and Quebec seeking V-PED care were included. A secure, encrypted, video platform within the hospital’s electronic medical record was used. Caregivers self-determined appropriateness of V-PED using a standardized online triage questionnaire to request their appointment. The V-PED is directly launched from the patient’s chart and the family joins the portal via hyperlink. Outcome measures included the number of V-PED visits, hospital admission rates, and caregiver satisfaction using a 10-item voluntary post-visit online survey. A total of 1036 V-PED visits were seen of which 176 (17.0%) were referred for further in-person ED assessment, and 8 (0.8%) required hospital admission. Of the 107 completing patient experience surveys (10% response), most respondents (69%) endorsed they “very likely” or “definitely” would have presented in-person to the ED if V-PED were unavailable. Overall satisfaction was rated as excellent (9 or 10 out of 10) in 87% of respondents. Our novel V-PED is feasible, has high caregiver satisfaction, and can reduce the burden of in-person ED visits. Future work must ensure the safety of emergency virtual care and examine how to increase capacity and integrate V-PED within traditional emergency medicine. The online version of this article (10.1007/s43678-020-00048-w) contains supplementary material, which is available to authorized users.
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影响因子：
3.7
作者：
Farion KJ;Wright M;Zemek R;Neto G;Karwowska A;Tse S;Reid S;Jabbour M;Poirier S;Moreau KA;Barrowman N
通讯作者：
Barrowman N
影响因子：
1.4
作者：
Cotton, James;Bullard-Berent, Jeffrey;Sapien, Robert
通讯作者：
Sapien, Robert
影响因子：
1.4
作者：
Kim, Ji Won;Friedman, Jonathan;Platt, Shari
通讯作者：
Platt, Shari
影响因子：
14.6
作者：
Quynh Doan;Wong, Hubert;Guttmann, Astrid
通讯作者：
Guttmann, Astrid
影响因子：
33.9
作者：
Hartnett, Kathleen P.;Kite-Powell, Aaron;Gundlapalli, Adi, V
通讯作者：
Gundlapalli, Adi, V